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

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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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Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018
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Tobacco Product Use Among U.S. Middle and High School Students — National Youth Tobacco Survey, 2023
Birdsey, J., Cornelius, M. E., Jamal, A., Park-Lee, E. Y., Cooper, M. R., Wang, J., Sawdey, M. D., Cullen, K. A., & Neff, L. J. (2023) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm7244a1 · Cited by 468
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Notes from the Field: E-Cigarette and Nicotine Pouch Use Among Middle and High School Students — United States, 2024
Park-Lee, E. Y., Jamal, A., Cowan, H., Sawdey, M. D., Cooper, M. R., Birdsey, J., West, A., & Cullen, K. A. (2024) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm7335a3 · Cited by 154
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Nicotine Pouch Unit Sales in the US, 2016-2020
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Self-Reported Use of Tobacco, E-cigarettes, and Marijuana Versus Urinary Biomarkers
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Racial/Ethnic Disparities in Tobacco Product Use Among Middle and High School Students — United States, 2014–2017
Odani, S., Armour, B. S., & Agaku, I. T. (2018) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6734a3 · Cited by 62
Historical Influences on Contemporary Tobacco Use by Northern Plains and Southwestern American Indians
Kunitz, S. J. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302909 · Cited by 35

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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: Jamal, Ahmed
Park-Lee, Eunice
Wang, Jia
Sawdey, Michael D.
Navon, Livia
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: 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 › 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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Tobacco Product Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2024

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