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Tobacco Use By Youth Is Rising

E-cigarettes are the main reason

There were 1.5 million more current youth e-cigarette users in 2018 than 2017.

4.9 million youth were current tobacco product users in 2018.

Use of any tobacco product grew by 38.3% among high school students (2017-2018).

Overview

Tobacco product use among US youth is increasing. More than 1 in 4 high school students and about 1 in 14 middle school students in 2018 had used a tobacco product in the past 30 days. This was a considerable increase from 2017, which was driven by an increase in e-cigarette use. E-cigarette use increased from 11.7% to 20.8% among high school students and from 3.3% to 4.9% among middle school students from 2017 to 2018. No change was found in the use of other tobacco products, including cigarettes, during this time.

Among youth:

  • E-cigarettes are still the most commonly used tobacco product, ahead of cigarettes, cigars, smokeless tobacco, hookah, and pipes.
  • E-cigarettes are the most commonly used product in combination with other tobacco products.
  • E-cigarette use is highest for boys, whites, and high school students.

Tobacco product use among high school students—2018

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SOURCE: Tobacco Product Use Among Middle and High School Students — United States, 2011-2018.
Morbidity and Mortality Weekly Report (MMWR), February 2019.

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Problem

Any tobacco product use among youth is unsafe, including e-cigarettes.

  • Cigarette smoke contains over 7,000 chemicals, including about 70 that cause cancer.
  • Nearly all tobacco products, including e-cigarettes, contain nicotine.
  • Youth nicotine use can lead to addiction and can harm the developing brain, impacting learning, memory, and attention.

The Way Forward

Parents and Educators Can:

  • Set a positive example by not using tobacco products themselves.
  • Learn about different types and risks of tobacco products, including e-cigarettes.

Healthcare Providers Can:

  • Ask specifically about e-cigarettes when screening for tobacco product use.
  • Warn youth about the risks of all tobacco product use, including e-cigarettes.

Schools Can:

  • Adopt and enforce tobacco-free campus policies that include e-cigarettes.
  • Reject tobacco industry-sponsored prevention programs, which are proven not to work.

States and Communities Can:

  • Prohibit smoking and e-cigarette use inside workplaces and public places.
  • Increase the minimum age of sale of tobacco products to 21 years.
  • Prohibit the sale of flavored  tobacco products.

Increase in youth e-cigarette use happened at same time as increased JUUL sales.

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JUUL is now the most commonly sold e-cigarette in the US.

  • JUUL is an e-cigarette shaped like a USB flash drive and is easy to conceal.
  • JUUL uses liquid nicotine refills called “pods,” which contain at least as much nicotine as a pack of cigarettes and are available in flavors that appeal to youth.
  • JUUL devices are being used by youth in schools, including inside bathrooms and classrooms.

Tobacco Use By Youth Is Rising – February 2019 – Vital Signs

View Transcript Low Resolution Video

Issue Details

Other Sites

Science Behind the Issue

For More Information
1-800-CDC-INFO (232-4636)
TTY: 1-888-232-6348
Web: www.cdc.gov

Centers for Disease Control and Prevention
1600 Clifton Road NE
Atlanta, GA 30333
Publication date: February 11, 2019

Content provided and maintained by the US Centers for Disease Control and Prevention (CDC). Please see our system usage guidelines and disclaimer.

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