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
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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![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.](/paper-figures/0289e292ca6a44219204834c3d005784/tobacco-product-use-among-middle-and-high-school-students-national-youth-tobacco-figure-1.jpg)
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“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]
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Cites
Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018
Gentzke, A. S., Creamer, M. R., Cullen, K. A., Ambrose, B. K., Willis, G., Jamal, A., & King, B. A. (2019) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6806e1 · Cited by 767
Self-citationTobacco 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
Self-citationE-Cigarette Use Among Youth and Young Adults
Murthy, V. H. (2016) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2016.4662 · Cited by 405
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
Self-citationNicotine Pouch Unit Sales in the US, 2016-2020
Marynak, K., Wang, X., Borowiecki, M., Kim, Y., Tynan, M. A., Emery, S., & King, B. A. (2021) · JAMA · doi:10.1001/jama.2021.10366 · Cited by 134
Self-Reported Use of Tobacco, E-cigarettes, and Marijuana Versus Urinary Biomarkers
Boykan, R., Messina, C. R., Chateau, G., Eliscu, A. H., Tolentino, J., & Goniewicz, M. L. (2019) · PEDIATRICS · doi:10.1542/peds.2018-3531 · Cited by 82
Odani, S., Armour, B. S., & Agaku, I. T. (2018) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6734a3 · Cited by 62
Kunitz, S. J. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302909 · Cited by 35
Research works printed but not linked: 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
Cited by
Sorted by citations
Palaniappan, L. P., Allen, N. B., Almarzooq, Z., Anderson, C. A. M., Arora, P. K., Avery, C. L., Baker-Smith, C. M., Bansal, N., Currie, M. E., Earlie, R. S., et al. (2026) · Circulation · doi:10.1161/cir.0000000000001412 · Cited by 343
Nicotine Pouch and E-Cigarette Use and Co-Use Among US Youths in 2023 and 2024
Han, D., Harlow, A. F., Miech, R. A., Bae, D., Cho, J., Dai, H. D., Sussman, S. Y., Sanchez, L. M., Meza, L. R., & Leventhal, A. M. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.6739 · Cited by 77
Notes from the Field: Tobacco Product Use Among Adults — United States, 2017–2023
Arrazola, R. A., Husten, C. G., Cornelius, M. E., & Armour, B. S. (2025) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm7407a3 · Cited by 58
Self-citationNicotine Pouch Use in Youths and Adults Who Use Cigarettes, E-Cigarettes, and Smokeless Tobacco
Palmer, A. M., Smith, T. T., Chen, A. A., Rojewski, A., Carpenter, M. J., & Toll, B. A. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.11630 · Cited by 25
The Impact of “The Real Cost” on E-cigarette Initiation Among U.S. Youth
MacMonegle, A. J., Nguyen, A. B., Wang, Y., Bennett, M., Malo, V. F., Pitzer, L., Nonnemaker, J. M., Jaarsma, A., Siegel, L. N., Taylor, N., et al. (2025) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2025.02.015 · Cited by 22
Metadata
- 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 › 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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