Cited by 259Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesSchool Health and Nursing Education

Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024

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Jamal, Ahmed, Park-Lee, Eunice, Birdsey, Jan, West, Andrenita, Cornelius, Monica, Cooper, Maria R., Cowan, Hannah, Wang, Jia +3 more·2024·MMWR. Morbidity and Mortality Weekly Report

Abstract

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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  1. [9]US Department of Health and Human Services. The health consequences of smoking—50 years of progress. A report of the Surgeon General. US Department of Health and Human Services, CDC; 2014. https://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdf

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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
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
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

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