Tobacco Use Down; Still High For Certain Groups. The Centers for Disease Control and Prevention estimated that 47.1 million U.S. adults (19%) reported that they were currently using any commercial tobacco product in the 2020 National Health Interview Survey. The prevalence of cigarette smoking was higher in rural areas than in urban areas among adults who were non-Hispanic Black (38% higher), Hispanic (38% higher), and non-Hispanic White (62% higher).