Key Points

• In 2021, the prevalence of daily smoking was 25% (or 1 in 4 adults), comparable to the national average, among both men and women;

• A significant decline in the prevalence of daily adult smokers was observed between 2010 and 2021, particularly among women;

• In 2021, men still smoked more than women, and young people still smoked more than older adults;

• Although a sharp decline in tobacco use among adolescents was observed between 2017 and 2022, 1 in 8 17-year-olds smoked daily, a prevalence higher than the national level (16%);

• Smoking during pregnancy, which declined between 2016 and 2021, remained prevalent at a level comparable to the national average;

• Social inequalities regarding smoking remain pronounced; the prevalence of daily smoking was significantly higher among those with the lowest incomes (30%), and among those with an educational level of high school or below (29% and 24%, respectively);

• The first departmental estimates on smoking reveal significant regional disparities, with daily smoking prevalence ranging from 24% to 30% in 2021; four departments had higher prevalence rates (Dordogne, Lot-et-Garonne, Charente, Creuse);

• In 2021, 39% of 18- to 75-year-olds had already tried e-cigarettes, and 5% used them daily;

• One in three smokers had attempted to quit within the year in 2021.