Youth and Tobacco Use
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Background
Estimates of Current Tobacco Use Among Youth
Factors Associated With Youth Tobacco Use
Reducing Youth Tobacco Use
References
Youth use of tobacco in any form is unsafe.
If smoking continues at the current rate among youth in this country, 5.6 million of today’s Americans
younger than 18 will die early from a smoking-related illness. That’s about 1 of every 13 Americans
aged 17 years or younger alive today. 1
Background
Preventing tobacco use among youth is critical to ending the tobacco epidemic in the United States.
Tobacco use is started and established primarily during adolescence. 2,3
o Nearly 9 out of 10 cigarette smokers first tried smoking by age 18, and 99% first tried
smoking by age 26. 1,3
o Each day in the United States, more than 3,200 youth aged 18 years or younger smoke their
first cigarette, and an additional 2,100 youth and young adults become daily cigarette
smokers. 3
Flavorings in tobacco products can make them more appealing to youth. 4
o In 2014, 73% of high school students and 56% of middle school students who used tobacco
products in the past 30 days reported using a flavored tobacco product during that time.
Estimates of Current Tobacco Use Among Youth
Cigarette smoking has declined among U.S. youth in recent years, but the use of some other
tobacco products has increased. 5
Cigarettes
From 2011 to 2015, current cigarette smoking declined among middle and high school
students. 5,6
o About 2 of every 100 middle school students (2.3%) reported in 2015 that they smoked
cigarettes in the past 30 days—a decrease from 4.3% in 2011.
o About 9 of every 100 high school students (9.3%) reported in 2015 that they smoked
cigarettes in the past 30 days—a decrease from 15.8% in 2011.
Electronic cigarettes
Current use of electronic cigarettes increased among middle and high school students from
2011 to 2015. 5,6
o About 5 of every 100 middle school students (5.3%) reported in 2015 that they used
electronic cigarettes in the past 30 days—an increase from 0.6% in 2011.
o 16 of every 100 high school students (16.0%) reported in 2015 that they used electronic
cigarettes in the past 30 days—an increase from 1.5% in 2011.
Hookahs
From 2011 to 2015, current use of hookahs increased among middle and high school students. 5,6
o 2 of every 100 middle school students (2.0%) reported in 2015 that they had used hookah in
the past 30 days—an increase from 1.0% in 2011.
o About 7 of every 100 high school students (7.2%) reported in 2015 that they had used
hookah in the past 30 days—an increase from 4.1% in 2011.
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