Supplementary Table 1A. Average annual age-adjusted death rates* for lung cancer in non-Hispanic white men (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
UT / 98 / 25.1 (17.2-32.9) / 67 / 11.0 (7.7-14.3) / 18 / 2.2 (1.1-3.3) / 185 / 10.5 (8.8-12.3) / 11.25 (6.24-20.30)
WA / 750 / 57.6 (47.8-67.5) / 337 / 16.6 (13.9-19.4) / 167 / 6.5 (5.2-7.7) / 1277 / 21.9 (20.2-23.6) / 8.94 (6.91-11.55)
LA / 746 / 61.6 (51.4-71.7) / 172 / 27.5 (20.0-35.0) / 74 / 7.4 (5.1-9.8) / 1001 / 36.3 (32.3-40.2) / 8.30 (5.81-11.88)
WV / 683 / 60.5 (52.4-68.5) / 70 / 18.2 (12.5-23.8) / 34 / 8.2 (4.7-11.6) / 797 / 42.6 (38.7-46.5) / 7.39 (4.75-11.49)
NM / 90 / 45.1 (25.6-64.6) / 68 / 28.2 (17.2-39.2) / 35 / 6.1 (3.7-8.6) / 198 / 19.3 (15.7-22.8) / 7.34 (4.07-13.23)
CA / 1819 / 48.9 (43.8-54.0) / 985 / 17.6 (15.8-19.4) / 604 / 7.2 (6.5-8.0) / 3533 / 20.2 (19.2-21.1) / 6.76 (5.84-7.83)
KY / 1504 / 75.8 (66.9-84.7) / 229 / 25.7 (20.4-30.9) / 109 / 11.4 (8.5-14.2) / 1872 / 49.0 (45.4-52.7) / 6.68 (5.07-8.79)
FL / 2698 / 65.8 (59.4-72.3) / 973 / 27.7 (24.4-31.0) / 488 / 9.9 (8.7-11.1) / 923 / 34.5 (32.7-36.3) / 6.66 (4.79-9.25)
TX / 2139 / 58.3 (52.4-64.1) / 843 / 22.3 (19.8-24.9) / 436 / 8.8 (7.7-10.0) / 4231 / 28.8 (27.2-30.3) / 6.65 (5.67-7.79)
OK / 703 / 77.2 (62.4-92.0) / 223 / 30.7 (23.5-37.9) / 99 / 11.8 (8.7-15.0) / 3468 / 42.3 (38.1-46.5) / 6.59 (5.59-7.78)
MD / 651 / 55.6 (47.0-64.2) / 112 / 14.4 (10.7-18.1) / 133 / 8.7 (6.9-10.5) / 1034 / 26.4 (24.1-28.7) / 6.51 (4.68-9.06)
NC / 1637 / 65.9 (57.8-74.0) / 378 / 19.8 (16.6-22.9) / 232 / 10.5 (8.6-12.4) / 911 / 34.9 (32.5-37.4) / 6.38 (4.91-8.28)
MI / 1763 / 53.4 (47.6-59.1) / 445 / 19.7 (16.7-22.7) / 222 / 8.7 (7.1-10.2) / 2264 / 30.5 (28.5-32.6) / 6.27 (5.04-7.79)
MS / 552 / 79.4 (63.8-94.9) / 117 / 23.7 (16.8-30.7) / 73 / 12.9 (8.8-17.1) / 2446 / 45.1 (40.0-50.2) / 6.16 (4.98-7.60)
IN / 1513 / 51.0 (45.8-56.2) / 305 / 22.8 (18.5-27.2) / 132 / 8.4 (6.5-10.3) / 758 / 33.7 (31.3-36.1) / 6.13 (4.22-8.91)
CT / 393 / 43.8 (36.2-51.5) / 108 / 16.9 (12.5-21.2) / 102 / 7.2 (5.6-8.9) / 1963 / 21.4 (19.4-23.4) / 6.09 (4.73-7.82)
KS / 424 / 59.0 (48.0-69.9) / 162 / 25.1 (18.9-31.2) / 86 / 9.8 (7.1-12.4) / 629 / 30.3 (27.2-33.4) / 6.07 (4.56-8.08)
VA / 1085 / 53.0 (46.0-60.1) / 229 / 21.0 (16.4-25.6) / 210 / 8.8 (7.2-10.3) / 674 / 28.1 (25.9-30.2) / 6.05 (4.36-8.39)
ME / 323 / 54.4 (44.1-64.7) / 69 / 19.8 (13.5-26.0) / 41 / 9.1 (5.8-12.4) / 1532 / 31.8 (28.4-35.3) / 6.04 (4.84-7.54)
DE / 135 / 49.6 (36.8-62.4) / 29 / 19.0 (10.0-28.0) / 17 / 8.4 (3.9-12.8) / 440 / 29.4 (24.7-34.1) / 5.98 (5.76-6.21)
TN / 1641 / 70.7 (62.7-78.7) / 277 / 21.7 (17.4-26.0) / 171 / 12.2 (9.5-14.9) / 186 / 43.4 (40.1-46.6) / 5.93 (3.27-10.77)
MT / 113 / 31.3 (22.6-40.1) / 49 / 16.3 (10.3-22.3) / 19 / 5.4 (2.7-8.2) / 2124 / 18.1 (15.1-21.1) / 5.78 (4.51-7.41)
ID / 149 / 40.8 (29.5-52.1) / 78 / 16.3 (11.2-21.3) / 31 / 7.1 (4.0-10.1) / 183 / 20.7 (17.6-23.8) / 5.78 (3.24-10.30)
CO / 310 / 32.4 (25.5-39.3) / 154 / 14.3 (11.2-17.3) / 112 / 5.7 (4.4-6.9) / 259 / 14.6 (13.2-16.1) / 5.78 (3.47-9.60)
AZ / 512 / 46.1 (35.7-56.5) / 250 / 17.0 (13.5-20.5) / 129 / 6.9 (5.3-8.6) / 584 / 21.5 (19.2-23.7) / 5.73 (4.23-7.75)
VT / 133 / 48.6 (36.7-60.6) / 24 / 15.7 (8.3-23.2) / 21 / 8.5 (4.3-12.8) / 179 / 27.2 (22.9-31.6) / 5.70 (3.27-9.94)
IL / 1537 / 49.9 (44.2-55.5) / 536 / 21.8 (18.6-25.0) / 291 / 8.9 (7.5-10.3) / 2413 / 27.5 (25.7-29.3) / 5.60 (4.62-6.79)
OR / 466 / 38.4 (31.9-44.8) / 249 / 21.4 (16.9-26.0) / 84 / 6.9 (5.1-8.7) / 812 / 22.8 (20.6-25.1) / 5.58 (4.09-7.62)
NE / 249 / 47.8 (37.5-58.1) / 73 / 15.6 (11.0-20.2) / 43 / 8.6 (5.6-11.6) / 370 / 24.9 (21.9-27.9) / 5.56 (3.69-8.38)
NJ / 875 / 46.9 (39.8-54.1) / 207 / 19.2 (14.8-23.6) / 223 / 8.5 (7.1-10.0) / 1316 / 23.7 (21.7-25.7) / 5.50 (4.37-6.93)
NH / 217 / 48.8 (38.4-59.3) / 46 / 12.5 (8.2-16.8) / 48 / 8.9 (6.0-11.8) / 313 / 23.2 (20.4-26.0) / 5.49 (3.71-8.11)
MA / 902 / 47.3 (40.4-54.1) / 196 / 21.4 (16.2-26.5) / 203 / 8.9 (7.2-10.7) / 1322 / 26.0 (23.8-28.3) / 5.29 (4.16-6.74)
SC / 762 / 60.4 (51.2-69.6) / 225 / 28.4 (21.6-35.3) / 112 / 11.5 (8.5-14.6) / 1117 / 37.5 (33.9-41.0) / 5.24 (3.87-7.10)
WI / 835 / 42.6 (37.0-48.3) / 215 / 15.1 (12.3-18.0) / 130 / 8.2 (6.4-10.0) / 1184 / 24.1 (22.2-26.0) / 5.20 (4.03-6.72)
AL / 1078 / 75.3 (61.6-88.9) / 239 / 29.6 (22.3-36.9) / 145 / 14.6 (11.1-18.1) / 1485 / 45.7 (41.1-50.4) / 5.16 (3.82-6.98)
OH / 2565 / 50.7 (46.5-54.8) / 461 / 21.1 (17.8-24.3) / 253 / 10.0 (8.3-11.7) / 3327 / 34.2 (32.2-36.1) / 5.09 (4.21-6.15)
SD / 108 / 42.7 (29.4-55.9) / 35 / 16.7 (9.3-24.1) / 20 / 8.6 (4.2-13.0) / 163 / 23.6 (19.6-27.6) / 4.95 (2.73-8.98)
NV / 287 / 46.5 (36.6-56.3) / 91 / 17.0 (12.2-21.9) / 61 / 9.4 (6.4-12.3) / 457 / 25.8 (22.8-28.8) / 4.95 (3.39-7.23)
NY / 2001 / 44.0 (39.8-48.2) / 502 / 16.4 (14.0-18.9) / 409 / 9.0 (7.9-10.2) / 2940 / 24.3 (22.9-25.7) / 4.88 (4.16-5.72)
MO / 1261 / 52.7 (46.5-58.8) / 282 / 21.5 (17.6-25.4) / 162 / 10.9 (8.5-13.2) / 1719 / 33.2 (30.7-35.7) / 4.85 (3.80-6.18)
PA / 2312 / 43.9 (40.2-47.6) / 376 / 17.5 (14.8-20.2) / 336 / 10.1 (8.6-11.5) / 3071 / 28.7 (27.1-30.3) / 4.36 (3.69-5.14)
MN / 568 / 38.1 (32.8-43.5) / 262 / 15.0 (12.5-17.5) / 135 / 9.0 (7.1-10.8) / 974 / 20.7 (19.0-22.3) / 4.24 (3.30-5.44)
HI / 30 / 38.7 (17.4-60.0) / 26 / 28.6 (13.5-43.7) / 17 / 9.3 (3.8-14.8) / 76 / 23.7 (17.5-29.8) / 4.18 (1.86-9.40)
ND / 76 / 39.6 (26.8-52.4) / 24 / 11.9 (6.1-17.8) / 22 / 10.2 (5.1-15.3) / 124 / 20.7 (16.7-24.6) / 3.86 (2.13-7.00)
AR / 757 / 58.0 (49.8-66.1) / 163 / 30.0 (22.4-37.6) / 70 / 15.5 (10.3-20.7) / 1000 / 43.7 (39.5-47.8) / 3.74 (2.60-5.37)
IA / 564 / 46.0 (39.3-52.7) / 161 / 16.5 (13.0-19.9) / 97 / 13.1 (9.7-16.5) / 823 / 28.1 (25.6-30.6) / 3.51 (2.60-4.73)
AK / 58 / 32.1 (20.9-43.3) / 34 / 15.2 (8.6-21.8) / 25 / 14.5 (7.6-21.5) / 119 / 21.4 (17.2-25.5) / 2.21 (1.22-4.00)
US / 40139 / 52.8 (51.7-53.9) / 11183 / 20.0 (19.4-20.6) / 6698 / 8.8 (8.6-9.1) / 58887 / 28.7 (28.4-29.1) / 5.99 (3.99-8.99)

Supplementary Table 1B. Average annual age-adjusted death rates* for lung cancer in non-Hispanic black men (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
FL / 577 / 57.4 (47.3-67.6) / 87 / 18.0 (12.6-23.5) / 28 / 7.2 (3.9-10.5) / 707 / 37.8 (33.4-42.1) / 7.98 (4.86-13.08)
TX / 663 / 59.9 (50.0-69.8) / 174 / 25.9 (19.4-32.5) / 40 / 8.3 (5.0-11.5) / 888 / 39.1 (35.0-43.3) / 7.24 (4.71-11.11)
VA / 372 / 57.3 (44.9-69.7) / 49 / 18.3 (9.9-26.7) / 23 / 8.2 (4.1-12.2) / 453 / 37.3 (31.9-42.7) / 6.99 (4.07-12.00)
LA / 510 / 76.8 (61.3-92.2) / 75 / 31.8 (20.1-43.5) / 16 / 11.2 (3.9-18.5) / 611 / 58.6 (50.6-66.6) / 6.84 (3.46-13.53)
CA / 363 / 58.9 (45.9-71.8) / 171 / 22.5 (17.3-27.7) / 51 / 9.2 (5.9-12.4) / 617 / 32.0 (28.3-35.7) / 6.43 (4.24-9.73)
MI / 437 / 74.9 (57.7-92.1) / 98 / 27.9 (19.5-36.3) / 26 / 13.0 (5.9-20.2) / 568 / 49.4 (42.6-56.2) / 5.74 (3.16-10.43)
NJ / 230 / 67.9 (46.2-89.6) / 41 / 21.6 (10.9-32.3) / 29 / 12.6 (6.2-19.0) / 301 / 39.6 (32.0-47.2) / 5.39 (2.96-9.79)
MD / 352 / 55.6 (45.3-65.9) / 66 / 19.8 (12.9-26.6) / 39 / 10.9 (6.7-15.0) / 466 / 34.5 (30.4-38.6) / 5.11 (3.34-7.82)
OH / 421 / 88.6 (64.0-113.2) / 61 / 17.8 (11.0-24.5) / 31 / 19.7 (7.3-32.1) / 524 / 53.4 (44.8-62.0) / 4.50 (2.26-8.96)
IL / 451 / 59.7 (48.3-71.1) / 116 / 28.3 (20.2-36.3) / 36 / 13.7 (6.6-20.8) / 632 / 44.0 (38.5-49.5) / 4.36 (2.50-7.59)
NY / 521 / 46.3 (39.0-53.7) / 102 / 15.4 (10.9-19.8) / 58 / 12.4 (8.2-16.6) / 705 / 31.3 (27.9-34.6) / 3.73 (2.57-5.41)
PA / 353 / 65.5 (49.7-81.4) / 46 / 22.1 (12.1-32.1) / 22 / 26.7 (3.2-50.3) / 436 / 51.7 (43.0-60.5) / 2.45 (0.98-6.10)
NC / 607 / 56.6 (46.6-66.5) / 105 / 26.3 (17.4-35.2) / 48 / 23.7 (13.6-33.9) / 773 / 46.0 (40.4-51.7) / 2.38 (1.50-3.79)
TN / 344 / 79.1 (55.1-103.0) / 58 / 33.6 (14.1-53.1) / 27 / 33.9 (5.1-62.6) / 442 / 63.9 (49.8-78.1) / 2.34 (0.95-5.75)
SC / 372 / 48.9 (39.3-58.4) / 53 / 21.3 (12.8-29.9) / 27 / 21.8 (9.1-34.5) / 461 / 41.0 (35.5-46.5) / 2.25 (1.21-4.15)
AL / 408 / 71.2 (57.2-85.1) / 59 / 29.7 (17.6-41.9) / 25 / 44.9 (7.2-82.7) / 511 / 60.9 (52.4-69.3) / 1.58 (0.67-3.76)
US / 8726 / 62.0 (59.3-64.8) / 1736 / 23.3 (21.6-25.0) / 654 / 13.1 (11.7-14.4) / 11391 / 43.0 (41.7-44.2) / 4.75 (4.23-5.33)

Supplementary Table 1C. Average annual age-adjusted death rates* for lung cancer in Hispanic men (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
NY / 247 / 17.6 (14.4-20.7) / 18 / 5.1 (2.4-7.8) / 18 / 6.7 (3.1-10.3) / 288 / 14.2 (12.2-16.2) / 2.61 (1.49-4.60)
FL / 313 / 23.3 (19.1-27.5) / 63 / 11.2 (7.5-14.9) / 70 / 9.1 (6.5-11.7) / 468 / 17.4 (15.4-19.5) / 2.55 (1.82-3.57)
TX / 418 / 10.5 (9.2-11.8) / 63 / 5.9 (4.1-7.6) / 25 / 4.9 (2.6-7.1) / 519 / 9.3 (8.3-10.2) / 2.17 (1.33-3.53)
CA / 436 / 7.7 (6.8-8.6) / 96 / 6.8 (5.1-8.5) / 39 / 3.6 (2.4-4.9) / 585 / 7.2 (5.6-8.9) / 2.12 (1.47-3.06)
US / 2059 / 11.2 (10.5-11.8) / 343 / 6.8 (5.9-7.7) / 211 / 5.3 (4.5-6.1) / 2694 / 9.8 (9.4-10.2) / 2.12 (1.80-2.49)

* Rates are per 100,000 and age-adjusted to the 2000 US standard population.

CI, confidence interval; RR, Rate ratio. Note: States ranked in descending order by rate ratio. ‘All’ category also include those with unknown education levels.

Supplementary Table 2A. Average annual age-adjusted death rates* for lung cancer in non-Hispanic white women (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
MD / 477 / 44.3 (37.6-51.0) / 121 / 13.8 (10.5-17.1) / 91 / 5.9 (4.5-7.2) / 694 / 19.8 (18.0-21.7) / 7.57 (5.72-10.01)
KS / 279 / 42.8 (34.4-51.1) / 127 / 15.0 (11.3-18.7) / 46 / 5.7 (3.8-7.5) / 452 / 19.7 (17.4-22.0) / 7.56 (5.14-11.11)
WA / 603 / 41.7 (35.4-48.1) / 293 / 11.8 (10.0-13.6) / 112 / 5.6 (4.3-6.9) / 1016 / 17.3 (15.8-18.7) / 7.47 (5.68-9.83)
SC / 558 / 45.2 (37.9-52.6) / 173 / 17.1 (13.4-20.7) / 60 / 6.3 (4.3-8.3) / 796 / 25.1 (22.6-27.6) / 7.16 (5.02-10.22)
NE / 184 / 33.1 (26.2-40.0) / 76 / 14.1 (10.2-18.0) / 24 / 4.7 (2.6-6.7) / 288 / 17.7 (15.4-20.0) / 7.06 (4.35-11.46)
AL / 629 / 43.7 (36.5-50.8) / 153 / 15.8 (12.1-19.6) / 59 / 6.2 (4.2-8.3) / 855 / 25.6 (22.9-28.3) / 6.99 (4.87-10.03)
OR / 385 / 35.0 (29.4-40.6) / 180 / 12.7 (10.1-15.2) / 61 / 5.2 (3.7-6.7) / 633 / 17.4 (15.6-19.1) / 6.71 (4.81-9.36)
NH / 207 / 45.6 (36.3-54.9) / 64 / 14.7 (10.4-19.1) / 35 / 6.9 (4.4-9.4) / 2893 / 16.5 (15.7-17.3) / 6.58 (4.34-9.97)
OK / 542 / 53.3 (44.2-62.5) / 163 / 25.6 (19.2-32.0) / 70 / 8.7 (6.1-11.3) / 309 / 21.9 (19.3-24.6) / 6.14 (4.35-8.69)
CA / 1516 / 37.2 (33.6-40.8) / 888 / 14.3 (12.9-15.7) / 448 / 6.2 (5.5-6.9) / 777 / 31.0 (27.7-34.3) / 6.02 (5.18-6.99)
AZ / 387 / 33.5 (26.8-40.1) / 212 / 12.7 (10.2-15.2) / 94 / 6.0 (4.4-7.5) / 708 / 16.1 (14.4-17.8) / 5.62 (4.06-7.78)
ME / 238 / 42.9 (34.9-50.9) / 70 / 17.8 (12.5-23.0) / 34 / 7.6 (4.8-10.5) / 343 / 24.2 (21.4-27.1) / 5.62 (3.71-8.52)
IN / 1067 / 40.4 (36.0-44.7) / 226 / 16.0 (13.2-18.8) / 94 / 7.2 (5.5-9.0) / 1394 / 25.9 (24.0-27.8) / 5.58 (4.27-7.28)
TN / 1119 / 46.6 (41.2-51.9) / 221 / 19.4 (15.3-23.6) / 95 / 8.5 (6.3-10.7) / 1448 / 30.6 (28.0-33.1) / 5.47 (4.11-7.30)
TX / 1501 / 36.4 (33.0-39.8) / 675 / 17.5 (15.5-19.5) / 290 / 6.9 (5.9-7.8) / 2492 / 20.3 (19.2-21.5) / 5.30 (4.47-6.28)
NC / 1055 / 42.8 (37.8-47.9) / 353 / 17.2 (14.6-19.8) / 170 / 8.2 (6.6-9.7) / 1594 / 24.0 (22.3-25.8) / 5.24 (4.18-6.56)
MI / 1334 / 39.3 (35.2-43.3) / 374 / 15.3 (13.0-17.6) / 173 / 7.5 (6.1-8.9) / 1888 / 23.1 (21.6-24.7) / 5.23 (4.21-6.49)
CT / 315 / 33.8 (28.1-39.5) / 110 / 14.8 (11.4-18.2) / 82 / 6.6 (5.0-8.3) / 531 / 18.2 (16.4-20.0) / 5.11 (3.79-6.89)
WI / 608 / 32.5 (28.4-36.6) / 216 / 14.1 (11.7-16.6) / 99 / 6.7 (5.2-8.3) / 925 / 18.9 (17.4-20.5) / 4.82 (3.71-6.27)
IA / 399 / 35.9 (30.5-41.2) / 151 / 15.7 (12.7-18.8) / 53 / 7.5 (5.2-9.8) / 603 / 21.4 (19.4-23.4) / 4.80 (3.40-6.77)
CO / 283 / 28.3 (23.2-33.3) / 133 / 10.9 (8.6-13.2) / 110 / 5.9 (4.7-7.2) / 529 / 13.0 (11.7-14.3) / 4.76 (3.60-6.30)
IL / 1246 / 37.1 (33.4-40.8) / 401 / 14.8 (12.7-16.9) / 227 / 7.9 (6.5-9.2) / 1897 / 20.8 (19.5-22.1) / 4.71 (3.88-5.73)
MT / 90 / 29.9 (20.7-39.0) / 36 / 11.0 (6.7-15.3) / 19 / 6.4 (3.1-9.7) / 145 / 15.7 (12.9-18.6) / 4.66 (2.56-8.49)
VA / 705 / 36.1 (31.6-40.5) / 213 / 13.5 (11.1-16.0) / 166 / 7.8 (6.3-9.2) / 2290 / 23.0 (21.6-24.3) / 4.65 (3.72-5.81)
OH / 1716 / 34.9 (32.0-37.7) / 359 / 14.6 (12.4-16.8) / 189 / 7.5 (6.1-8.8) / 1090 / 19.2 (17.7-20.7) / 4.65 (3.82-5.67)
AR / 452 / 39.0 (32.8-45.1) / 119 / 20.1 (14.8-25.3) / 50 / 8.6 (5.6-11.6) / 625 / 26.9 (24.0-29.8) / 4.53 (3.10-6.63)
NJ / 737 / 33.8 (29.5-38.1) / 228 / 18.0 (14.4-21.6) / 181 / 7.5 (6.2-8.8) / 1149 / 19.3 (17.8-20.9) / 4.51 (3.62-5.61)
MA / 734 / 39.4 (34.2-44.6) / 224 / 16.8 (13.7-20.0) / 198 / 8.8 (7.2-10.3) / 1172 / 21.1 (19.4-22.8) / 4.50 (3.60-5.63)
ID / 107 / 24.6 (18.2-30.9) / 63 / 14.4 (9.7-19.1) / 19 / 5.5 (2.8-8.1) / 189 / 15.0 (12.6-17.3) / 4.48 (2.58-7.75)
LA / 504 / 38.6 (32.3-44.8) / 124 / 23.1 (15.7-30.5) / 69 / 8.7 (6.1-11.3) / 702 / 26.0 (23.1-29.0) / 4.43 (3.16-6.21)
NV / 260 / 41.7 (33.2-50.2) / 102 / 18.9 (13.7-24.1) / 44 / 9.5 (6.1-12.8) / 411 / 25.2 (22.2-28.2) / 4.41 (2.94-6.63)
MS / 323 / 42.2 (33.7-50.7) / 81 / 13.8 (9.9-17.8) / 44 / 9.7 (6.1-13.2) / 453 / 25.3 (22.1-28.5) / 4.37 (2.87-6.65)
WV / 472 / 46.2 (39.5-52.9) / 54 / 13.2 (8.8-17.7) / 40 / 10.6 (6.5-14.8) / 572 / 31.8 (28.5-35.0) / 4.34 (2.87-6.57)
KY / 1059 / 52.4 (46.6-58.2) / 201 / 17.2 (13.9-20.5) / 98 / 12.2 (8.9-15.4) / 1378 / 34.0 (31.4-36.6) / 4.31 (3.23-5.75)
NM / 70 / 29.5 (18.8-40.1) / 43 / 12.5 (7.7-17.3) / 36 / 6.9 (4.2-9.6) / 151 / 13.8 (11.2-16.4) / 4.29 (2.52-7.32)
MN / 495 / 33.1 (28.6-37.6) / 210 / 13.2 (11.0-15.5) / 117 / 7.8 (6.1-9.4) / 824 / 17.8 (16.3-19.2) / 4.25 (3.30-5.48)
FL / 1970 / 41.7 (38.1-45.2) / 812 / 20.7 (18.5-22.9) / 432 / 10.1 (8.9-11.4) / 3240 / 25.0 (23.7-26.2) / 4.11 (3.53-4.78)
MO / 894 / 37.5 (33.2-41.9) / 234 / 15.8 (13.1-18.6) / 118 / 9.7 (7.4-12.0) / 1255 / 24.4 (22.5-26.3) / 3.86 (2.98-5.01)
NY / 1564 / 33.7 (30.7-36.6) / 556 / 16.8 (14.8-18.9) / 438 / 9.8 (8.6-11.0) / 2582 / 20.8 (19.6-21.9) / 3.44 (2.95-4.00)
DE / 110 / 37.1 (27.2-47.0) / 32 / 20.1 (11.6-28.7) / 22 / 11.2 (5.9-16.6) / 170 / 26.0 (21.7-30.2) / 3.31 (1.91-5.72)
PA / 1562 / 29.2 (26.8-31.6) / 362 / 14.5 (12.5-16.5) / 266 / 9.1 (7.7-10.5) / 2215 / 20.5 (19.3-21.7) / 3.21 (2.69-3.84)
UT / 86 / 13.3 (9.6-17.0) / 41 / 5.8 (3.8-7.8) / 20 / 4.3 (2.2-6.4) / 148 / 8.1 (6.6-9.5) / 3.09 (1.77-5.38)
US / 29172 / 37.5 (36.8-38.3) / 9631 / 15.5 (15.1-15.9) / 5174 / 7.6 (7.3-7.8) / 44396 / 21.3 (21.0-21.6) / 4.94 (4.75-5.14)

Supplementary Table 2B. Average annual age-adjusted death rates* for lung cancer in non-Hispanic black women (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
CA / 245 / 38.6 (30.4-46.7) / 171 / 19.1 (14.9-23.3) / 47 / 8.6 (5.6-11.6) / 472 / 22.8 (20.1-25.5) / 4.48 (2.98-6.73)
MD / 228 / 35.0 (28.4-41.7) / 65 / 12.7 (8.8-16.6) / 41 / 9.1 (5.8-12.5) / 339 / 20.4 (17.8-22.9) / 3.85 (2.54-5.82)
IL / 311 / 40.5 (32.9-48.2) / 131 / 21.6 (16.2-27.0) / 47 / 11.7 (7.4-16.1) / 495 / 27.6 (24.4-30.9) / 3.45 (2.27-5.24)
TX / 346 / 35.5 (28.9-42.1) / 119 / 13.1 (10.1-16.2) / 54 / 10.7 (7.1-14.2) / 495 / 27.6 (24.4-30.9) / 3.32 (2.28-4.86)
SC / 172 / 24.3 (19.2-29.3) / 42 / 14.8 (9.2-20.4) / 18 / 7.7 (3.5-11.9) / 528 / 21.9 (19.4-24.3) / 3.14 (1.75-5.64)
TN / 158 / 36.0 (25.7-46.4) / 46 / 17.5 (9.0-26.1) / 17 / 12.4 (3.7-21.1) / 222 / 26.2 (20.8-31.5) / 2.91 (1.36-6.23)
AL / 166 / 28.9 (22.4-35.4) / 54 / 14.7 (9.7-19.8) / 20 / 10.1 (4.7-15.5) / 242 / 21.3 (18.0-24.5) / 2.87 (1.61-5.12)
NC / 250 / 26.3 (21.1-31.5) / 79 / 17.3 (12.0-22.5) / 38 / 9.2 (5.6-12.8) / 373 / 20.3 (17.6-22.9) / 2.86 (1.84-4.45)
NJ / 129 / 23.6 (17.5-29.7) / 45 / 17.6 (10.0-25.2) / 25 / 9.1 (4.5-13.6) / 200 / 18.5 (15.2-21.8) / 2.60 (1.48-4.56)
MI / 238 / 42.2 (33.2-51.1) / 101 / 25.3 (17.8-32.8) / 40 / 16.4 (8.5-24.3) / 380 / 30.1 (26.0-34.2) / 2.57 (1.52-4.35)
FL / 257 / 21.1 (17.5-24.7) / 77 / 11.0 (7.8-14.3) / 33 / 8.5 (5.0-12.0) / 368 / 15.8 (13.8-17.8) / 2.48 (1.58-3.88)
LA / 244 / 37.3 (29.4-45.1) / 49 / 12.2 (7.9-16.6) / 24 / 15.1 (7.5-22.7) / 321 / 26.4 (22.6-30.2) / 2.47 (1.43-4.27)
OH / 264 / 37.2 (29.8-44.7) / 83 / 21.0 (14.8-27.2) / 27 / 16.0 (7.6-24.4) / 376 / 29.4 (25.4-33.5) / 2.33 (1.32-4.08)
VA / 189 / 27.1 (21.5-32.8) / 58 / 13.5 (9.2-17.8) / 35.0 / 11.8 (6.4-17.1) / 285 / 19.5 (16.7-22.3) / 2.31 (1.40-3.80)
MS / 146 / 25.6 (19.9-31.3) / 42 / 18.6 (10.7-26.5) / 16 / 11.4 (4.7-18.1) / 211 / 21.9 (18.4-25.4) / 2.24 (1.19-4.19)
NY / 316 / 21.9 (18.4-25.4) / 134 / 16.7 (12.8-20.7) / 70 / 10.4 (7.3-13.5) / 532 / 18.1 (16.2-20.1) / 2.11 (1.50-2.96)
PA / 266 / 36.5 (29.2-43.7) / 63 / 29.4 (17.8-40.9) / 38 / 18.7 (9.8-27.7) / 372 / 32.0 (27.4-36.6) / 1.95 (1.16-3.27)
US / 4652 / 30.6 (29.2-31.9) / 1636 / 16.7 (15.6-17.9) / 691 / 10.8 (9.8-11.8) / 7073 / 22.4 (21.8-23.1) / 2.84(2.56-3.15)

Supplementary Table 2C. Average annual age-adjusted death rates* for lung cancer in Hispanic women (25-64 years old) by race/ethnicity and years of education, 2008-2010

≤ 12 years of education / 13-15 years of education / 16+ years of education / All / ≤ 12 vs. 16+ years
State / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / N / Rate (95% CI) / RR (95% CI)
FL / 151 / 10.2 (8.3-12.2) / 35 / 4.8 (3.0-6.6) / 35 / 4.5 (2.9-6.2) / 226 / 7.5 (6.5-8.6) / 2.27 (1.50-3.42)
TX / 227 / 5.4 (4.6-6.3) / 35 / 3.2 (2.1-4.4) / 20 / 2.9 (1.5-4.2) / 284 / 4.8 (4.2-5.4) / 1.89 (1.16-3.10)
CA / 278 / 4.8 (4.2-5.5) / 80 / 4.9 (3.7-6.1) / 36 / 3.7 (2.4-5.0) / 397 / 4.8 (4.3-5.3) / 1.31 (0.90-1.90)
US / 1185 / 6.3 (5.9-6.7) / 268 / 4.5 (3.9-5.1) / 163 / 4.1 (3.4-4.8) / 1641 / 5.7 (5.4-6.0) / 1.54 (1.28-1.84)

* Rates are per 100,000 and age-adjusted to the 2000 US standard population.

CI, confidence interval; RR, Rate ratio. Note: States ranked in descending order by rate ratio. ‘All’ category also include those with unknown education levels.

Supplementary Table 3. Status of tobacco control in 2013 in select states according to the American Lung Association *

State / Tobacco prevention control spending / Smokefree air / Cigarette tax / Cessation coverage
Very limited tobacco control
AL / F / F / F / F
GA / F / C / F / F
KY / F / F / F / F
LA / F / B / F / F
MO / F / F / F / F
MS / F / F / F / F
NC / F / F / F / F
PA / F / C / C / F
SC / F / F / F / F
TN / F / C / F / F
TX / F / F / D / D
VA / F / F / F / F
WV / F / F / F / F
Some effective policies
CA / F / A / D / F
HI / D / A / A / C
MA / F / A / A / D
MD / F / A / C / F
ME / D / A / C / D
MN / F / A / B / F
MT / F / A / C / D
NM / F / A / C / B
NY / F / A / A / F
RI / F / A / A / D
VT / D / A / B / C
WA / F / A / B / F
WI / F / A / B / F

* Letter grade of A through F has been assigned to each of four tobacco control policies considered by the American Lung Association (13).Grade “A” indicates excellent tobacco control policies and “F” indicates inadequate policies.We divided these select states to two categories: (1) those with very limited tobacco control, and (2) those with some effective policies. In each group, states are ordered alphabetically.

Supplementary Figure 1. Smoking prevalence in non-Hispanic white men (25-64 years old) in 1994-1995 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 1994 and 1995 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 2. Smoking prevalence in non-Hispanic white men (25-64 years old) in 2009-2010 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 2009 and 2010 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 3. Smoking prevalence in non-Hispanic white women (25-64 years old) in 1994-1995 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 1994 and 1995 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 4. Smoking prevalence in non-Hispanic white women (25-64 years old) in 2009-2010 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 2009 and 2010 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 5. Smoking prevalence in non-Hispanic black men and women (25-64 years old) in 1994-1995 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 1994 and 1995 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 6. Smoking prevalence in non-Hispanic black men and women (25-64 years old) in 2009-2010 *

* Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys in 2009 and 2010 combined. States ranked in descending order by smoking prevalence. Source: http://www.cdc.gov/brfss/annual_data/annual_data.htm

Supplementary Figure 7.Percentage of change in smoking prevalence from 1994-95 to 2009-10 by state and education level, non-Hispanic white men and women (50 states)

States ranked in by change in smoking prevalence in men and women with ≥16 years of education.