Tobacco Product Use Among Middle and High School Students — United States, 2011–2017

Abstract

Tobacco use is the leading cause of preventable disease and death in the United States, and nearly all tobacco use begins during youth and young adulthood (1,2).CDC and the Food and Drug Administration (FDA) analyzed data from the 2011-2017 National Youth Tobacco Surveys (NYTS)* to determine patterns of current (past 30-day) use of seven tobacco product types among U.S. middle school (grades 6-8) and high school (grades 9-12) students and estimate use nationwide.Among high school students, current use of any tobacco product decreased from 24.2% (estimated 3.69 million users) in 2011 to 19.6% (2.95 million) in 2017.Among middle school students, current use of any tobacco product decreased from 7.5% (0.87 million) in 2011 to 5.6% (0.67 million) in 2017.In 2017, electronic cigarettes (e-cigarettes) were the most commonly used tobacco product among high (11.7%;1.73 million) and middle (3.3%; 0.39 million) school students.During 2016-2017, decreases in current use of hookah and pipe tobacco occurred among high school students, while decreases in current use of any tobacco product, e-cigarettes, and hookah occurred among middle school students.Current use of any combustible tobacco product, ≥2 tobacco products, cigarettes, cigars, smokeless tobacco, and bidis did not change among middle or high school students during 2016-2017.Comprehensive and sustained strategies can help prevent and reduce the use of all forms of tobacco products among U.S. youths (1,2).NYTS is a cross-sectional, voluntary, school-based, selfadministered, pencil-and-paper questionnaire survey of U.S. middle and high school students.A three-stage cluster sampling procedure is used to generate a nationally representative sample of U.S. students attending public and private schools in grades 6-12.Briefly, primary sampling units are selected at the first stage, schools are selected at the second stage, and students are selected from intact classrooms at each grade level at the third stage.This report used data from seven NYTS waves (2011)(2012)(2013)(2014)(2015)(2016)(2017).Sample sizes and response rates were 18,766, 72.7% (2011); 24,658, 73.6% (2012); 18,406, 67.8% (2013); 22