Substance use stayed at high levels in 2023, while vaping increased and smoking fell
Rates of mental illness and substance use remained largely stable in 2023, according to federal data, underscoring the severity of the long-running U.S. mental health crisis and worst-in-the-world rates of illicit drug use.
And while overall rates of nicotine use also remained roughly even, the way people consumed it shifted slightly. Overall, slightly more Americans vaped nicotine, while slightly fewer smoked cigarettes.
