Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024
Open accessAbstract
Use of tobacco products in any form is unsafe, and nearly all tobacco product use begins during adolescence.CDC and the Food and Drug Administration (FDA) analyzed data from the 2024 National Youth Tobacco Survey to determine tobacco product use among U.S. middle school (grades 6-8) and high school (grades 9-12) students.In 2024, current (previous 30-day) use of any tobacco product was reported by 10.1% of high school students (representing 1.58 million students) and 5.4% of middle school students (representing 640,000 students).Among all students, e-cigarettes were the most commonly reported tobacco product currently used (5.9%), followed by nicotine pouches (1.8%), cigarettes (1.4%), cigars (1.2%), smokeless tobacco (1.2%), other oral nicotine products (1.2%), heated tobacco products (0.8%), hookahs (0.7%), and pipe tobacco (0.5%).During 2023-2024, among all students, the estimated number who reported current use of any tobacco product decreased from 2.80 to 2.25 million students; e-cigarette use decreased (from 2.13 to 1.63 million students); and hookah use decreased (from 290,000 to 190,000 students).Among high school students, current use of any tobacco product decreased from 12.6% to 10.1% of students, and e-cigarette use decreased from 10.0% to 7.8%.Among middle school students, no statistically significant changes occurred.Evidence-based strategies can help prevent initiation and promote cessation of tobacco product use among U.S. youths.* The term "tobacco" as used in this report refers to commercial tobacco products and not to the sacred and traditional use of tobacco by some American Indian communities; however, NYTS does not distinguish between use of ceremonial and commercial use. Methods Data Source and CollectionNYTS is a cross-sectional, voluntary, school-based, selfadministered, Internet survey of U.S. middle school (grades 6-8) and high school (grades 9-12) students.A stratified, three-stage cluster sampling procedure was used to generate a nationally representative sample of U.S. students attending private or public middle and high schools.Data were collected during January 22-May 22, 2024; 29,861 students from 283 schools participated, with an overall response rate of 33.4%.
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Similar educational initiatives have been successfully implemented in tobacco prevention programs, demonstrating promising results.
“Similar educational initiatives have been successfully implemented in tobacco prevention programs, demonstrating promising results [69].”
From Nitazenes: The Emergence of a Potent Synthetic Opioid Threat (2025) · cites this paper as [69]
The Discussion’s Implications for Public Health Practice section identifies mass media campaigns that educate youths as an evidence-based tobacco prevention strategy. The Discussion also reports declining youth tobacco use, but attributes the decline to multiple possible factors; it does not show that educational initiatives were implemented successfully or produced the reported results. (LLM, conf=0.86)
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Support among adults for a policy to lower nicotine levels in cigarettes and cigars – USA, 2023
Mahoney, M. R., Schwank, A., Al-Shawaf, M., Holmes, C. B., & Tynan, M. A. (2025) · Tobacco Control · doi:10.1136/tc-2024-059220 · Cited by 1 · see citing works
Effects of E-Cigarette Use on Exercise Participation: A Systematic Review and Meta-Analysis
Tiralla, G., & Leung, W. C. W. (2025) · Exercise Sport and Movement · doi:10.1249/esm.0000000000000048 · Cited by 1 · see citing works
Housing Instability, E-Cigarette, and Tobacco Use by Sexual Identity in US High Schoolers
Azagba, S., de Silva, G. S., & Ebling, T. (2025) · PEDIATRICS · doi:10.1542/peds.2024-069626 · Cited by 1 · see citing works
Umphres, S. S., Badejo, P. O., Khasawneh, F. T., & Alshbool, F. Z. (2025) · Cardiovascular Toxicology · doi:10.1007/s12012-025-10023-5 · Cited by 1 · see citing works
An update on nicotine use in adolescents
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Pillai, D. G., Chau, C. H., Price, D. K., & Figg, W. D. (2025) · The Oncologist · doi:10.1093/oncolo/oyaf190 · Cited by 1 · see citing works
Temourian, A. A., Ling, P. M., Vuong, V., & Nguyen, N. P. T. (2025) · AJPM Focus · doi:10.1016/j.focus.2025.100392 · Cited by 1 · see citing works
Longitudinal Associations between Adolescent Electronic Cigarette Use and Eating Behaviors
Sarwar, S., Mason, W. A., Nelson, J. M., Espy, K. A., & Nelson, T. D. (2025) · Substance Use & Misuse · doi:10.1080/10826084.2025.2534491 · Cited by 1 · see citing works
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Incorporating Tobacco/Nicotine Dependence Treatment Education Into a Nurse Practitioner Program
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Female sex and lung cancer risk in two large screening cohorts
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Characterizing the Objective Features of Vaping Prevention Video Ads: A Content Analysis
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Hackworth, E. E., Vidaña-Pérez, D., O'Neal, R., Hinds, J. T., Titus, A. R., Kim, M., Fillo, J., Hammond, D. G., & Thrasher, J. F. (2026) · LGBT Health · doi:10.1177/23258292261422233 · Cited by 1 · see citing works
- Authors
- Jamal, A., Park-Lee, E., Birdsey, J., West, A., Cornelius, M., Cooper, M. R., Cowan, H., Wang, J., Sawdey, M. D., Cullen, K. A., & Navon, L.
- Affiliations
- United States Food and Drug Administration (US)
- Corresponding author
- Jamal, Ahmed
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2024-10-17
- Volume
- 73
- Issue
- 41
- Pages
- 917-924
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC11486349
- OpenAlex
- W4403484111
- Cited by
- 258
- References
- 8
- Citations by year
- 2026: 143 · 2025: 111 · 2024: 4
- FWCI
- 73.43
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Center for Chronic Disease Prevention and Health Promotion
- 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 product use, adolescent tobacco use, vaping, nicotine pouches, hookah use, smokeless tobacco, heated tobacco products, junior high school students, high school students, tobacco use trends, tobacco use prevention, tobacco cessation, cigars, cigarettes, pipe tobacco, hookah, tobacco control, tobacco product regulation
- MeSH terms
- Adolescent, Child, Female, Health Surveys, Humans, Male, Schools, Students, United States, Tobacco Products, Tobacco Use, Electronic Nicotine Delivery Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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