Tobacco Use Among Middle and High School Students — United States, 2011–2015
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Centers and Implementation of Guidance for Prevention of Transfusion-Transmitted Zika Virus Infection -Puerto Rico, 2016 379 Notes from the Field: Outbreak of Multidrug-Resistant Salmonella Infections Linked to Pork -Washington, 2015 382 Notes from the Field: Health Care-Associated Outbreak of Epidemic Keratoconjunctivitis -West Virginia, 2015 384 Announcement 384 Notice to Readers 385 QuickStatsTobacco use is the leading cause of preventable disease and death in the United States; if current smoking rates continue, 5.6 million Americans aged <18 years who are alive today are projected to die prematurely from smoking-related disease (1).Tobacco use and addiction mostly begin during youth and young adulthood (1,2).CDC and the Food and Drug Administration (FDA) analyzed data from the 2011-2015 National Youth Tobacco Surveys (NYTS) to determine the prevalence and trends of current (past 30-day) use of seven tobacco product types (cigarettes, cigars, smokeless tobacco, electronic cigarettes [e-cigarettes], hookahs [water pipes used to smoke tobacco], pipe tobacco, and bidis [small imported cigarettes wrapped in a tendu leaf]) among U.S. middle (grades 6-8) and high (grades 9-12) school students.In 2015, e-cigarettes were the most commonly used tobacco product among middle (5.3%) and high (16.0%)school students.During 2011-2015, significant increases in current use of e-cigarettes and hookahs occurred among middle and high school students, whereas current use of conventional tobacco products, such as cigarettes and cigars decreased, resulting in no change in overall tobacco product use.During 2014-2015, current use of e-cigarettes increased among middle school students, whereas current use of hookahs decreased among high school students; in contrast, no change was observed in use of hookahs among middle school students, use of e-cigarettes among high school students, or use of cigarettes, cigars, smokeless tobacco, pipe tobacco, or bidis among middle and high school students.In 2015, an estimated 4.7 million middle and high school students were current tobacco product users, and, therefore, continue to be exposed to harmful tobacco product constituents, including nicotine.Nicotine exposure during adolescence, a critical period for brain development, can cause addiction, might harm brain development, and could lead to sustained tobacco product use among youths (1,3).Comprehensive and sustained strategies are warranted to prevent and reduce the use of all tobacco products among U.S. youths.The NYTS is a cross-sectional, school-based, self-administered, pencil-and-paper questionnaire administered to U.S. middle school and high school students.Information is collected on tobacco control outcome indicators to monitor the impact of comprehensive tobacco control policies and strategies (4) and to inform the FDA's regulatory actions (5).A three-stage cluster sampling Tobacco Use Among Middle and High School Students -United States, 2011-2015
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Electronic cigarette use rose dramatically among high school and middle school students after 2011.
“Use has increased dramatically in high school and middle school students since 2011”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [5]
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- Authors
- Singh, T., Arrazola, R. A., Corey, C. G., Husten, C. G., Neff, L. J., Homa, D. M., & King, B. A.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2016-04-15
- Volume
- 65
- Issue
- 14
- Pages
- 361-367
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- OpenAlex
- W2336924596
- Cited by
- 1,240
- References
- 1
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 26 · 2023: 33 · 2022: 63 · 2021: 67 · 2020: 85 · 2019: 106 · 2018: 199 · 2017: 238 · 2016: 200 · 2015: 84 · 2014: 7 · 2013: 12 · 2012: 16
- FWCI
- 199.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- tobacco use, adolescent smoking, electronic cigarettes, hookah, bidis, smokeless tobacco, pipe tobacco, cigarettes, cigars, tobacco use prevalence, junior high school students, high school students, nicotine exposure, adolescent health, National Youth Tobacco Survey, tobacco product regulation, youth tobacco prevention, tobacco control
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Smoking, Students, United States
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