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

The DOI matches its Crossref record, with a small difference in title or year; 8 of the 8 references it cites were found in a registry or an index.

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, Sawdey, Michael D., Cullen, Karen A., Navon, Livia·2024·MMWR. Morbidity and Mortality Weekly Report
DOI 10.15585/mmwr.mm7341a2PMC PMC11486349
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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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FIGURE Current use of selected tobacco products,* any tobacco product,† any combustible tobacco product,§ and multiple tobacco products¶ by middle and high school students — National Youth Tobacco Survey, United States, 2023 and 2024** * Current use is defined as use on ≥1 day during the past 30 days for each product. † Any tobacco product use is defined as current use of one or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, nicotine pouches, cigarettes, cigars (cigars, cigarillos, or little cigars), smokeless tobacco (composite [chewing tobacco, snuff, dip, or snus]), other oral nicotine products, heated tobacco products, hookahs, pipe tobacco, or bidis (small, brown cigarettes wrapped in a leaf). § Any combustible tobacco product use was defined as current use of one or more of the following tobacco products: cigarettes, cigars, hookah, pipe tobacco, or bidis. ¶ Multiple tobacco product use was defined as current use of two or more of the following tobacco products: e-cigarettes, nicotine pouches, cigarettes, cigars, smokeless tobacco (composite [chewing tobacco, snuff, dip, or snus]), other oral nicotine products, heated tobacco products, hookahs, pipe tobacco, or bidis. ** During 2023–2024, statistically significant declines in the use of any tobacco product, e-cigarettes, and hookahs were observed. No statistically significant change in use of nicotine pouches, cigarettes, cigars, smokeless tobacco, other oral nicotine products, heated tobacco products, pipe tobacco, any combustible tobacco, or multiple tobacco products occurred.
FIGURE Current use of selected tobacco products,* any tobacco product,† any combustible tobacco product,§ and multiple tobacco products¶ by middle and high school students — National Youth Tobacco Survey, United States, 2023 and 2024** * Current use is defined as use on ≥1 day during the past 30 days for each product. † Any tobacco product use is defined as current use of one or more of the following tobacco products on ≥1 day during the past 30 days: e-cigarettes, nicotine pouches, cigarettes, cigars (cigars, cigarillos, or little cigars), smokeless tobacco (composite [chewing tobacco, snuff, dip, or snus]), other oral nicotine products, heated tobacco products, hookahs, pipe tobacco, or bidis (small, brown cigarettes wrapped in a leaf). § Any combustible tobacco product use was defined as current use of one or more of the following tobacco products: cigarettes, cigars, hookah, pipe tobacco, or bidis. ¶ Multiple tobacco product use was defined as current use of two or more of the following tobacco products: e-cigarettes, nicotine pouches, cigarettes, cigars, smokeless tobacco (composite [chewing tobacco, snuff, dip, or snus]), other oral nicotine products, heated tobacco products, hookahs, pipe tobacco, or bidis. ** During 2023–2024, statistically significant declines in the use of any tobacco product, e-cigarettes, and hookahs were observed. No statistically significant change in use of nicotine pouches, cigarettes, cigars, smokeless tobacco, other oral nicotine products, heated tobacco products, pipe tobacco, any combustible tobacco, or multiple tobacco products occurred.CC0 · PubMed Central

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  1. 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
ORCID
Venue
MMWR. Morbidity and Mortality Weekly Report
Publisher
Centers for Disease Control MMWR Office
Published
2024-10-17
Volume
73
Issue
41
Pages
917-924
ISSN
  • 0149-2195 (ISSN-L)
  • 1545-861X
DOI
10.15585/mmwr.mm7341a2
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
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 › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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