Increased Consumption of Cannabis and Nicotine Among U.S. Adults Persists Through 2025 August 12, 2026 National Institutes Of Health (Nih) Share Summary Takeaways Insight Report Clinical Scorecard Quiz 1 In 2025, cannabis use among U.S. adults reached record-high levels, indicating a sustained trend of increasing consumption. 2 Nicotine vaping among young adults tripled in the past 30 days and nearly doubled in the past 12 months since 2017. 3 Cigarette smoking rates among adults remained low, with young adults reporting a 30-day smoking prevalence of 8.3%. 4 Heroin use among young adults increased from 0.2% in 2024 to 0.6% in 2025, marking the highest level in a decade. 5 The MTF Longitudinal Panel Study has collected data from over 120,000 individuals to estimate drug prevalence among U.S. adults.