Electronic cigarettes (E-cigarettes)
- E-cigarettes have been the most commonly used tobacco product among youth since 2014.
- In 2023, about 1 out of every 22 middle school students (4.6%) reported that they had used electronic cigarettes in the past 30 days.7
- In 2023, 1 of every 10 high school students (10.0%) reported that they had used electronic cigarettes in the past 30 days.7
Cigarettes
- In 2023, about 1 of every 100 middle school students (1.1%) reported that they had smoked cigarettes in the past 30 days.7
- In 2023, nearly 2 of every 100 high school students (1.9%) reported that they had smoked cigarettes in the past 30 days.7
Cigars
- In 2023, nearly 1 of every 100 middle school students (1.1%) reported that they had smoked cigars in the past 30 days. 7
- In 2023, nearly 2 of every 100 high school students (1.8%) reported that they had smoked cigars in the past 30 days. 7
Smokeless Tobacco
- In 2023, nearly 1 of every 100 middle school students (0.7%) reported that they had had used smokeless tobacco in the past 30 days. 7
- In 2023, nearly 2 of every 100 high school students (1.5%) reported that they had had used smokeless tobacco in the past 30 days. 7
Hookah
- In 2023, less than 1 of every 100 middle school students (1.0%) reported that they had smoked hookah in the past 30 days. 7
- In 2023, about 1 of every 100 high school students (1.1%) reported that they had smoked hookah in the past 30 days. 7
Heated Tobacco Products
- In 2023, less than 1 of every 100 middle school students (0.8%) and about 1 of every 100 high school students (1.0%) reported using heated tobacco products in the past 30 days.7
- Heated tobacco products, also known as “heat-not-burn” products, deliver nicotine to the user by heating tobacco leaves rather than a nicotine-containing liquid like e-cigarettes.
Nicotine Pouches
- In 2023, about 1 of every 100 high school students (1.7%) reported using nicotine pouches in the past 30 days. 7
- Nicotine pouches are microfiber pouches with flavored nicotine powder that users dissolve in the mouth without spitting. Sales of nicotine pouches have increased rapidly in the U.S.8
All Tobacco Product Use
- In 2023, more than 6 of every 100 middle school students (6.6%) and about 1 of every 8 high school students (12.6%) reported current use of a tobacco product.7
- In 2023, nearly 15 of every 100 middle school students (14.7%) and nearly 28 of every 100 high school students (27.9%) said they had ever tried a tobacco product.7
Many young people use multiple tobacco products.
- In 2023, more than 2 of every 100 middle school students (2.5%) and about 1 of every 30 high school students (3.9%) reported current use of multiple tobacco products in the past 30 days.7
- In 2023, about 6 of every 100 middle school students (6.1%) and more than 12 of every 100 high school students (12.7%) reported they had ever tried multiple tobacco products.7
Youth who use multiple tobacco products are at higher risk for developing nicotine dependence and might be more likely to continue using tobacco into adulthood.1, 2
Tobacco Product | Overall | Girls | Boys |
---|---|---|---|
Any tobacco product† | 12.6% | 14.1% | 11.2% |
Electronic cigarettes | 10.0% | 12.2% | 8.0% |
Cigarettes | 1.9% | 1.5% | 2.3% |
Cigars | 1.8% | 1.4% | 2.3% |
Smokeless tobacco | 1.5% | — | 2.1% |
Hookah | 1.1% | 1.4% | 0.9% |
Nicotine Pouches | 1.7% | — | 2.6% |
Heated tobacco products | 1.0% | 0.7% | 1.4% |
Pipe tobacco | 0.6% | 0.5% | 0.7% |
Notes:
*“Current use” is determined by respondents indicating that they have used a tobacco product on at least 1 day during the past 30 days.
†In 2023, any tobacco product includes e-cigarettes, cigarettes, cigars, smokeless tobacco (composite), pipe tobacco, bidis (small brown cigarettes wrapped in a leaf), hookahs, heated tobacco products, nicotine pouches, and other oral nicotine products.
Tobacco Product | Overall | Girls | Boys |
---|---|---|---|
Any tobacco product† | 6.6% | 7.5% | 5.7% |
Electronic cigarettes | 4.6% | 5.6% | 3.5% |
Cigarettes | 1.1% | 1.1% | — |
Cigars | 1.1% | 1.2% | 1.0% |
Smokeless tobacco | 0.7% | 0.6% | — |
Hookah | 1.0% | — | 0.8% |
Nicotine Pouches | — | — | — |
Heated tobacco products | 0.8% | 0.8% | — |
Pipe tobacco | 0.4% | — | — |