 Among racial and ethnic groups, Native Americans and Alaska Natives had the highest prevalence at 32.0%, followed by non-Hispanic whites at 21.9%, and non-Hispanic blacks at 21.5%.Hispanics at 16.2%, and Asians at 13.3% had the lowest rates.Smoking prevalence also based on education level, with the highest among adults who had earned a General Educational Development (GED) diploma at 43.2% and those with 9–11 years of education at 32.6%.