Есть что улучшить? Предложите правку.
No form of tobacco use is safe, and nearly all tobacco use begins in adolescence. CDC and the Food and Drug Administration used the 2024 National Youth Tobacco Survey to measure use of nine tobacco products among U.S. middle school (grades 6–8) and high school (grades 9–12) students, and changes since 2023.
The survey
The survey is a voluntary, self-administered online questionnaire given at a nationally representative sample of public and private schools. From January 22 to May 22, 2024, 29,861 students at 283 schools took part (response rate 33.4%). "Current use" means use on at least one day in the previous 30 days.
Who uses tobacco
- 19.0% of students (5.28 million) had ever used a tobacco product, and 8.1% (2.25 million) used one currently. Of those who had ever tried tobacco, 42.9% were current users.
- High school: 10.1% (1.58 million students) used any tobacco product; 3.3% used a combustible product and 3.7% used more than one product.
- Middle school: 5.4% (640,000 students) used any tobacco product; 2.1% used a combustible product and 2.1% more than one.
- Use was similar among boys (8.5%) and girls (7.7%), though boys more often used several products. By race and ethnicity, current use was 16.3% among American Indian or Alaska Native students, 10.0% among Black, 9.0% among multiracial, 8.4% among Hispanic, 7.8% among White and 3.3% among Asian students.
Which products
| Product | All students | High school | Middle school |
|---|---|---|---|
| E-cigarettes | 5.9% | 7.8% | 3.5% |
| Nicotine pouches | 1.8% | 2.4% | 1.0% |
| Cigarettes | 1.4% | 1.7% | 1.1% |
| Cigars | 1.2% | 1.5% | 0.8% |
| Smokeless tobacco | 1.2% | 1.5% | 0.8% |
| Other oral nicotine products | 1.2% | 1.4% | 0.9% |
| Heated tobacco products | 0.8% | 0.9% | 0.7% |
| Hookahs | 0.7% | 0.8% | 0.6% |
| Pipe tobacco | 0.5% | 0.5% | 0.5% |
E-cigarettes have been the most-used tobacco product among U.S. youth since 2014; 43.6% of students who had ever vaped were current users. For the first time, nicotine pouches were the second most common product, and 890,000 students had tried them. Cigarette smoking — 1.7% of high school and 1.1% of middle school students — was the lowest the survey has ever recorded.
Current use of selected tobacco products by middle and high school students, 2023 and 2024. CDC figure.
Changes since 2023
Among all students, current use of any tobacco product fell from 10.0% to 8.1% — about 550,000 fewer students, and the lowest level the survey has measured — driven mostly by high school e-cigarette use, which dropped from 10.0% to 7.8% (1.56 million to 1.21 million students). Hookah use fell from 1.1% to 0.7%. Middle school use did not change significantly.
- Any tobacco use fell among girls (11.2% to 7.7%) and Hispanic students (11.7% to 8.4%), including declines in vaping among both groups.
- It rose among American Indian or Alaska Native students, from 8.0% to 16.3%, with e-cigarette use rising from 5.9% to 11.5%.
- Nicotine pouch use rose among White students, from 1.4% to 2.2%.
What it means
The decline in high school vaping likely reflects tobacco control work at national, state and local levels. Still, about one in 12 students used tobacco in 2024 — one in 10 in high school and one in 20 in middle school. Nicotine pouch sales have grown sharply since 2016, so the authors called for close watch on emerging products. Youth use is driven by flavored products that appeal to young people, marketing, misperceptions about harm, new flavor types such as "ice" flavors that mix cooling with fruit or sweet tastes, and product design. Because nicotine is especially harmful to adolescents, the authors urged a comprehensive approach: higher prices, media campaigns about the harms of all tobacco products, and smoke-free policies that include e-cigarettes, along with efforts to reduce disparities such as those affecting American Indian and Alaska Native youth.
Limitations: use was self-reported, though young people's reports correlate with biomarkers; students who are home-schooled, have left school, are in detention or attend alternative schools were not surveyed; the 2023 nicotine pouch estimate for middle schoolers could not be compared; the survey does not distinguish ceremonial tobacco use in some American Indian and Alaska Native communities from commercial tobacco; and many estimates for smaller racial and ethnic groups were unreliable.
Sources
- Jamal A, Park-Lee E, Birdsey J, et al. "Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024." MMWR 2024;73(41).
Лицензия: CC0 1.0 (общественное достояние) · По материалам www.cdc.gov
1
0
0
0
Комментарии
