Overall Tobacco Trends
Tobacco use rates have generally decreased over time. This page describes the change in cigarette and other tobacco rates among adults and youth, including current use, quitting, and average number of cigarettes smoked per day.
Trends in Cigarette Smoking Rates
Long term, cigarette smoking rates have fallen:
-
68 percent among adults, from 42.6 percent in 1965 to 13.7 percent in 2018.
Adult Cigarette Smoking Rate Trend by Sex, Race, and Age
1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 % Change
1965-2018% Change
1997-2018Total 42.4 37.4 37.1 33.2 30.1 25.5 24.7 24.7 24.1 23.5 23.3 22.8 22.5 21.6 20.9 20.9 20.6 19.8 20.6 20.6 19.3 19.0 18.1 17.8 16.8 15.1 15.5 14.0 13.7 -67.7 -44.5 Sex Male 51.9 44.1 43.1 37.6 32.6 28.4 27.0 27.6 26.4 25.7 25.7 25.2 25.2 24.1 23.4 23.9 23.6 22.3 23.1 23.5 21.5 21.6 20.5 20.5 18.8 16.7 17.5 15.8 15.6 -69.9 -43.5 Female 33.9 31.5 32.1 29.3 27.9 22.8 22.6 22.1 22.0 21.5 21.0 20.7 20.0 19.2 18.5 18.1 17.8 17.4 18.3 17.9 17.3 16.5 15.8 15.3 14.8 13.6 13.5 12.2 12.0 -64.6 -45.7 Race Non-Hispanic White 42.1 37.0 36.4 32.9 29.6 25.6 25.6 25.3 25.0 24.3 24.1 24.0 23.6 22.7 22.2 21.9 21.8 21.5 22.0 22.2 21.1 20.7 19.8 19.5 18.3 16.6 16.7 15.3 15.0 -64.4 -40.7 Black 45.8 41.4 44.0 36.9 34.9 26.2 25.8 26.7 24.7 24.3 23.2 22.3 22.4 21.5 20.2 21.5 22.6 19.8 21.3 21.3 20.5 19.6 18.2 18.5 17.8 16.8 16.9 15.1 14.6 -68.1 -45.3 American Indian/ Alaska Native N/A N/A N/A N/A N/A N/A N/A 34.1 40.0 40.8 36.0 32.7 40.8 39.7 33.4 32.0 32.2 36.4 32.4 23.2 31.4 31.5 21.8 26.1 29.2 21.9 34.1 24.6 25.9 N/A -24.0 Asian N/A N/A N/A N/A N/A N/A N/A 16.9 13.7 15.1 14.4 12.4 13.3 11.7 11.3 13.3 10.3 9.6 9.9 12.0 9.2 9.9 10.7 9.6 9.5 7.0 9.4 7.0 7.4 N/A -56.2 Hispanic N/A N/A N/A N/A N/A N/A N/A 20.4 19.1 18.1 18.6 16.7 16.7 16.4 15.0 16.2 15.1 13.3 15.8 14.5 12.5 12.9 12.5 12.1 11.2 10.1 10.7 9.9 9.8 N/A -52.0 Age 18-24 45.5 38.0 37.8 33.3 29.3 24.5 24.8 28.7 27.9 27.9 26.8 26.9 28.5 23.9 23.6 24.4 23.7 22.2 21.4 21.8 20.1 18.9 17.3 18.7 16.7 13.0 13.1 10.4 7.8 -82.9 -72.8 25-44 51.2 44.6 44.5 37.8 34.8 29.7 28.6 28.6 27.5 27.3 27.0 25.8 25.7 25.6 23.8 24.1 23.2 22.8 23.7 24.0 22.0 22.1 21.6 20.1 20.0 17.7 17.6 16.1 16.5 -67.8 -42.3 45-64 41.6 38.6 37.7 35.6 31.6 27.0 25.5 24.4 25.0 23.3 24.0 23.8 22.7 22.0 22.4 21.9 21.5 21.0 22.5 21.9 21.1 21.4 19.5 19.9 18.0 17.0 18.0 16.5 16.3 -60.8 -33.2 ≥65 17.9 16.1 17.3 17.2 16.0 12.8 13.0 12.0 10.9 10.6 9.7 10.1 9.3 9.1 8.8 8.6 10.0 8.3 9.3 9.5 9.5 7.9 8.9 8.8 8.5 8.4 8.8 8.2 8.4 -53.1 -30.0 1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 % Change
1965-2018% Change
1997-2018Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2018. Analysis for years 1997-2018 by the American Lung Association Research Team using SPSS software.- N/A - Not Available
- * Persons 18 years or older.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
-
68 percent among youth, from 27.5 percent in 1991 to 8.8 percent in 2017.
High School Cigarette Smoking Rate Trend by Sex and Race
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Total 27.5 30.5 34.8 36.4 34.8 28.5 21.9 23.0 20.0 19.5 18.1 15.7 10.8 8.8 -75.8 Sex Male 27.6 29.8 35.4 37.7 34.7 29.2 21.8 22.9 21.3 19.8 19.9 16.4 11.8 9.8 -64.5 Female 27.3 31.2 34.3 34.7 34.9 27.7 21.9 23.0 18.7 19.1 16.1 15.0 9.7 7.8 -71.4 Race Non-Hispanic White 30.9 33.7 38.3 39.7 38.6 31.9 24.9 25.9 23.2 22.5 20.3 18.6 12.4 11.1 -64.1 Black 12.6 15.4 19.1 22.7 19.7 14.7 15.1 12.9 11.6 9.5 10.5 8.2 6.5 4.4 -65.1 American Indian/Alaska Native N/A 35.8 N/A 44.4 N/A 45.1 23.1 31.5 37.0 37.1 31.2 24.6 12.2 18.7 -31.3 Asian 14.6 20.5 24.7 21.1 22.9 15.2 13.0 9.9 9.9 7.5 7.6 10.3 7.0 2.2 -84.9 Hispanic 25.3 28.7 34.0 34.0 32.7 26.6 18.4 22.0 16.7 18.0 17.5 14.0 9.2 7.0 -72.3 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. Youth Risk Behavior Survey, 1991-2017.- N/A - Not Available
- ‡ Percent change for American Indians/Alaska Natives is from 1993-2017.
Over the last five years, cigarette smoking rates have fallen:
-
23 percent among adults, from 17.8 percent in 2013.
Adult Cigarette Smoking Rate Trend by Sex, Race, and Age
1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 % Change
1965-2018% Change
1997-2018Total 42.4 37.4 37.1 33.2 30.1 25.5 24.7 24.7 24.1 23.5 23.3 22.8 22.5 21.6 20.9 20.9 20.6 19.8 20.6 20.6 19.3 19.0 18.1 17.8 16.8 15.1 15.5 14.0 13.7 -67.7 -44.5 Sex Male 51.9 44.1 43.1 37.6 32.6 28.4 27.0 27.6 26.4 25.7 25.7 25.2 25.2 24.1 23.4 23.9 23.6 22.3 23.1 23.5 21.5 21.6 20.5 20.5 18.8 16.7 17.5 15.8 15.6 -69.9 -43.5 Female 33.9 31.5 32.1 29.3 27.9 22.8 22.6 22.1 22.0 21.5 21.0 20.7 20.0 19.2 18.5 18.1 17.8 17.4 18.3 17.9 17.3 16.5 15.8 15.3 14.8 13.6 13.5 12.2 12.0 -64.6 -45.7 Race Non-Hispanic White 42.1 37.0 36.4 32.9 29.6 25.6 25.6 25.3 25.0 24.3 24.1 24.0 23.6 22.7 22.2 21.9 21.8 21.5 22.0 22.2 21.1 20.7 19.8 19.5 18.3 16.6 16.7 15.3 15.0 -64.4 -40.7 Black 45.8 41.4 44.0 36.9 34.9 26.2 25.8 26.7 24.7 24.3 23.2 22.3 22.4 21.5 20.2 21.5 22.6 19.8 21.3 21.3 20.5 19.6 18.2 18.5 17.8 16.8 16.9 15.1 14.6 -68.1 -45.3 American Indian/ Alaska Native N/A N/A N/A N/A N/A N/A N/A 34.1 40.0 40.8 36.0 32.7 40.8 39.7 33.4 32.0 32.2 36.4 32.4 23.2 31.4 31.5 21.8 26.1 29.2 21.9 34.1 24.6 25.9 N/A -24.0 Asian N/A N/A N/A N/A N/A N/A N/A 16.9 13.7 15.1 14.4 12.4 13.3 11.7 11.3 13.3 10.3 9.6 9.9 12.0 9.2 9.9 10.7 9.6 9.5 7.0 9.4 7.0 7.4 N/A -56.2 Hispanic N/A N/A N/A N/A N/A N/A N/A 20.4 19.1 18.1 18.6 16.7 16.7 16.4 15.0 16.2 15.1 13.3 15.8 14.5 12.5 12.9 12.5 12.1 11.2 10.1 10.7 9.9 9.8 N/A -52.0 Age 18-24 45.5 38.0 37.8 33.3 29.3 24.5 24.8 28.7 27.9 27.9 26.8 26.9 28.5 23.9 23.6 24.4 23.7 22.2 21.4 21.8 20.1 18.9 17.3 18.7 16.7 13.0 13.1 10.4 7.8 -82.9 -72.8 25-44 51.2 44.6 44.5 37.8 34.8 29.7 28.6 28.6 27.5 27.3 27.0 25.8 25.7 25.6 23.8 24.1 23.2 22.8 23.7 24.0 22.0 22.1 21.6 20.1 20.0 17.7 17.6 16.1 16.5 -67.8 -42.3 45-64 41.6 38.6 37.7 35.6 31.6 27.0 25.5 24.4 25.0 23.3 24.0 23.8 22.7 22.0 22.4 21.9 21.5 21.0 22.5 21.9 21.1 21.4 19.5 19.9 18.0 17.0 18.0 16.5 16.3 -60.8 -33.2 ≥65 17.9 16.1 17.3 17.2 16.0 12.8 13.0 12.0 10.9 10.6 9.7 10.1 9.3 9.1 8.8 8.6 10.0 8.3 9.3 9.5 9.5 7.9 8.9 8.8 8.5 8.4 8.8 8.2 8.4 -53.1 -30.0 1965 1970 1974 1980 1985 1990 1995 1997† 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 % Change
1965-2018% Change
1997-2018Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2018. Analysis for years 1997-2018 by the American Lung Association Research Team using SPSS software.- N/A - Not Available
- * Persons 18 years or older.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
-
44 percent among youth, from 15.7 percent in 2013.
High School Cigarette Smoking Rate Trend by Sex and Race
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Total 27.5 30.5 34.8 36.4 34.8 28.5 21.9 23.0 20.0 19.5 18.1 15.7 10.8 8.8 -75.8 Sex Male 27.6 29.8 35.4 37.7 34.7 29.2 21.8 22.9 21.3 19.8 19.9 16.4 11.8 9.8 -64.5 Female 27.3 31.2 34.3 34.7 34.9 27.7 21.9 23.0 18.7 19.1 16.1 15.0 9.7 7.8 -71.4 Race Non-Hispanic White 30.9 33.7 38.3 39.7 38.6 31.9 24.9 25.9 23.2 22.5 20.3 18.6 12.4 11.1 -64.1 Black 12.6 15.4 19.1 22.7 19.7 14.7 15.1 12.9 11.6 9.5 10.5 8.2 6.5 4.4 -65.1 American Indian/Alaska Native N/A 35.8 N/A 44.4 N/A 45.1 23.1 31.5 37.0 37.1 31.2 24.6 12.2 18.7 -31.3 Asian 14.6 20.5 24.7 21.1 22.9 15.2 13.0 9.9 9.9 7.5 7.6 10.3 7.0 2.2 -84.9 Hispanic 25.3 28.7 34.0 34.0 32.7 26.6 18.4 22.0 16.7 18.0 17.5 14.0 9.2 7.0 -72.3 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 % Change
1991-2017‡Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. Youth Risk Behavior Survey, 1991-2017.- N/A - Not Available
- ‡ Percent change for American Indians/Alaska Natives is from 1993-2017.
Trends in Number of People Who Smoke Cigarettes and Have Quit
The 34.2 million current cigarette smokers in 2018 marked the fifth time in a row there were less than 40 million current cigarette smokers in the United States since the government began collecting this date in 1997.
Trends in Average Number of Cigarettes Smoked Per Day
Between 1974 and 2018, among current cigarette smokers:Percent of Adult Cigarette Smokers by the Number of Cigarettes Smoked Daily
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | % Change 1974-2018 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <15 | 31.6 | 29.1 | 31.6 | 34.5 | 40.9 | 42.3 | 42.4 | 45.2 | 45.8 | 46.7 | 48.6 | 51.1 | 50.4 | 51.7 | 52.6 | 55.0 | 55.1 | 58.0 | 58.9 | 59.5 | 60.3 | 63.2 | 65.5 | 63.9 | 64.6 | 65.3 | 65.8 | 108.1 |
| 15-24 | 43.2 | 42.1 | 41.8 | 42.6 | 39.0 | 39.7 | 39.9 | 39.1 | 38.8 | 38.5 | 37.0 | 36.1 | 37.2 | 36.6 | 35.3 | 34.1 | 34.9 | 32.9 | 33.7 | 31.8 | 33.2 | 30.5 | 28.2 | 29.7 | 28.6 | 29.3 | 28.1 | -35.0 |
| >24 | 25.3 | 28.8 | 26.6 | 22.9 | 20.1 | 18.0 | 17.7 | 15.7 | 15.4 | 14.8 | 14.4 | 12.9 | 12.3 | 11.7 | 12.1 | 10.9 | 10.1 | 9.1 | 7.4 | 8.6 | 6.5 | 6.3 | 6.3 | 6.4 | 6.7 | 5.4 | 6.1 | -75.7 |
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | % Change 1974-2018 |
Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2018. Analysis for years 1997-2018 by the American Lung Association Research Team using SPSS software.
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- The proportion of people smoking more than 24 cigarettes a day decreased 76 percent from 25 percent to 6 percent.
- The proportion of people smoking 15-24 cigarettes a day decreased 35 percent from 43 percent to 28 percent.
- The proportion of people smoking fewer than 15 cigarettes a day increased 108 percent from 32 percent to 66 percent.
Percent of Adults Who Smoked >24 Cigarettes Daily by Sex, Race, Hispanic Origin, Age and Education
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 1974-2018‡ |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sex | ||||||||||||||||||||||||||||
| Male | 31.1 | 33.7 | 32.4 | 28.5 | 25.5 | 21.9 | 23.5 | 20.2 | 20.7 | 18.6 | 18.2 | 16.1 | 16.5 | 16.4 | 15.4 | 13.1 | 12.2 | 11.7 | 12.6 | 13.5 | 9.7 | 10.3 | 10.7 | 11.4 | 10.5 | 9.1 | 9.7 | -68.8 |
| Female | 18.7 | 23.2 | 20.6 | 16.6 | 14.1 | 13.5 | 13.1 | 12.6 | 11.7 | 10.6 | 10.1 | 9.2 | 9.9 | 9.0 | 8.1 | 7.8 | 7.2 | 5.7 | 5.7 | 7.7 | 6.0 | 5.1 | 4.7 | 4.5 | 5.9 | 4.3 | 5.3 | -71.5 |
| Race | ||||||||||||||||||||||||||||
| White | 27.6 | 31.6 | 29.5 | 25.4 | 22.2 | 20.4 | 20.5 | 18.3 | 18.5 | 16.7 | 16.3 | 14.2 | 14.9 | 14.5 | 13.6 | 12.1 | 11.3 | 10.1 | 10.3 | 12.4 | 9.0 | 9.2 | 8.6 | 9.1 | 9.5 | 7.6 | 8.6 | -69.0 |
| Black | 8.7 | 9.4 | 9.3 | 6.0 | 7.7 | 5.0 | 9.1 | 7.6 | 5.5 | 5.4 | 5.8 | 4.9 | 5.3 | 5.3 | 4.9 | 3.0 | 3.3 | 3.2 | 3.2 | 3.1 | 2.8 | 1.2 | 4.2 | 2.4 | 2.0 | 3.0 | 4.5 | -48.7 |
| Hispanic Origin | ||||||||||||||||||||||||||||
| Hispanic | NA | 13.4 | 15.8 | 6.8 | 8.6 | 5.3 | 5.7 | 5.8 | 5.9 | 4.5 | 4.0 | 3.0 | 3.4 | 4.3 | 2.9 | 2.4 | 1.9 | 1.5 | 3.8 | 4.5 | 1.4 | 2.6 | 3.7 | 0.7 | 1.2 | 3.3 | 2.4 | -82.4 |
| Non-Hispanic | NA | 29.6 | 27.2 | 24.1 | 21.0 | 19.1 | 19.7 | 17.5 | 17.4 | 15.7 | 15.4 | 13.9 | 14.6 | 14.0 | 13.1 | 11.5 | 10.8 | 9.8 | 9.8 | 11.3 | 8.6 | 8.4 | 8.2 | 8.7 | 9.1 | 7.1 | 8.2 | -72.1 |
| Age (Years) | ||||||||||||||||||||||||||||
| 18-24 | 15.1 | 17.0 | 13.6 | 9.1 | 10.5 | 8.8 | 10.0 | 6.1 | 6.7 | 5.2 | 4.9 | 4.8 | 4.5 | 7.7 | 5.0 | 4.4 | 2.5 | 2.3 | 3.8 | 3.5 | 1.2 | 1.8 | 2.3 | 2.1 | 4.2 | 0.5 | 4.5 | -70.4 |
| 25-44 | 29.2 | 31.5 | 29.5 | 22.9 | 18.1 | 17.4 | 16.4 | 15.9 | 15.9 | 14.3 | 14.1 | 11.5 | 12.0 | 11.0 | 10.5 | 9.0 | 9.0 | 7.3 | 7.0 | 8.2 | 5.1 | 6.8 | 6.0 | 6.1 | 6.3 | 4.4 | 5.9 | -79.8 |
| 45-64 | 27.3 | 34.5 | 31.1 | 30.8 | 27.5 | 24.1 | 26.2 | 23.3 | 22.0 | 20.8 | 20.7 | 18.3 | 18.5 | 17.8 | 16.0 | 14.1 | 13.4 | 13.1 | 12.5 | 14.6 | 11.7 | 10.3 | 10.1 | 9.7 | 10.5 | 9.9 | 9.5 | -65.1 |
| ≥65 | 17.7 | 18.2 | 19.4 | 18.9 | 22.6 | 16.9 | 19.2 | 16.1 | 16.9 | 12.4 | 10.7 | 13.7 | 16.1 | 14.3 | 17.2 | 16.5 | 11.0 | 10.1 | 13.0 | 14.4 | 12.8 | 10.1 | 12.1 | 13.3 | 10.5 | 7.3 | 8.6 | -51.6 |
| Education (Years) | ||||||||||||||||||||||||||||
| Less than High School | 25.8 | 29.4 | 29.0 | 24.5 | 27.5 | 20.3 | 23.5 | 19.0 | 19.0 | 16.0 | 19.1 | 14.3 | 15.3 | 14.1 | 15.6 | 14.5 | 12.3 | 13.1 | 13.0 | 13.6 | 10.9 | 10.1 | 10.9 | 13.1 | 9.3 | 9.6 | 10.3 | -60.1 |
| High School Diploma or GED | 27.8 | 31.6 | 29.0 | 25.7 | 22.9 | 19.4 | 19.3 | 17.5 | 18.3 | 17.0 | 15.0 | 14.1 | 15.6 | 15.6 | 14.1 | 12.7 | 11.8 | 8.7 | 8.9 | 11.2 | 8.4 | 8.2 | 8.3 | 7.6 | 10.3 | 7.6 | 8.5 | -69.6 |
| Some College | 32.5 | 32.7 | 29.3 | 25.5 | 17.2 | 15.6 | 15.7 | 15.3 | 13.6 | 13.8 | 12.8 | 12.2 | 11.1 | 11.3 | 9.7 | 7.0 | 7.3 | 8.4 | 8.6 | 10.2 | 5.8 | 7.3 | 6.7 | 6.3 | 6.8 | 4.3 | 5.6 | -82.8 |
| Bachelors Degree or Higher | 27.3 | 33.3 | 28.7 | 22.6 | 13.5 | 13.0 | 12.3 | 11.4 | 11.0 | 8.4 | 8.2 | 8.2 | 9.3 | 6.9 | 5.9 | 7.5 | 6.8 | 4.8 | 5.4 | 5.5 | 7.7 | 5.1 | 4.2 | 5.8 | 5.2 | 6.7 | 7.1 | -74.0 |
| 1974 | 1980 | 1985 | 1990 | 1995 | 1997† | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 1974-2018‡ |
Source:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 1965-2018. Analysis for years 1997-2018 by the American Lung Association Research Team using SPSS software.
- N/A - Not Available
- † Due to the redesign of the NHIS survey in 1997, comparisons with data from prior years must be conducted with caution.
- ‡ Percent changes for Hispanic origin are from 1980-2018.
Trends in Electronic Cigarette Use
From 2014 to 2018, the number of adults:Adult Electronic Cigarette Ever and Current Use Trends by Sex, Race, and Age*
| 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2014-2018 |
2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2014-2018 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ever Use | Current Use | |||||||||||
| Total | 12.6 | 13.1 | 15.2 | 14.4 | 11.7 | -7.2 | 3.7 | 3.2 | 3.2 | 2.8 | 3.2 | -12.4 |
| Sex | ||||||||||||
| Male | 14.1 | 15.2 | 17.7 | 16.5 | 13.5 | -4.3 | 4.1 | 4.1 | 3.8 | 3.3 | 4.3 | 4.6 |
| Female | 11.1 | 11.1 | 12.9 | 12.4 | 10.0 | -9.8 | 3.4 | 2.5 | 2.6 | 2.4 | 2.3 | -33.4 |
| Sex Orientation | ||||||||||||
| Straight | 12.4 | 13.1 | 14.9 | 14.0 | 11.3 | -8.9 | 3.7 | 3.2 | 3.1 | 2.6 | 3.1 | -16.2 |
| LGB | 24.0 | 30.4 | 22.6 | 27.1 | 25.7 | 7.1 | 7.3 | 8.7 | 4.1 | 7.5 | 7.0 | -4.1 |
| Race | ||||||||||||
| Non-Hispanic | ||||||||||||
| White | 13.3 | 14.9 | 17.3 | 16.3 | 13.2 | -0.7 | 4.5 | 3.9 | 3.7 | 3.3 | 3.7 | -17.8 |
| Black | 7.6 | 9.6 | 12.4 | 10.6 | 8.4 | 10.5 | 2.0 | 1.9 | 2.0 | 2.3 | 1.9 | -5.0 |
| American Indian/ Alaska Native | 20.2 | 15.1 | 25.0 | 18.7 | 17.1 | -15.3 | 10.7 | 2.9 | 9.1 | 3.7 | 5.2 | -51.4 |
| Asian | 6.2 | 7.6 | 8.3 | 7.9 | 8.4 | 35.5 | 1.5 | 2.1 | 2.7 | 0.9 | 2.2 | 46.7 |
| Hispanic | 8.6 | 9.7 | 11.0 | 11.7 | 9.0 | 4.1 | 2.1 | 1.9 | 1.6 | 1.8 | 2.5 | 19.0 |
| Age | ||||||||||||
| 18-24 | 21.6 | 21.3 | 23.6 | 25.5 | 18.1 | -16.2 | 5.1 | 4.9 | 4.7 | 5.2 | 7.6 | 49.0 |
| 25-44 | 15.1 | 17.8 | 21.0 | 19.2 | 16.9 | 11.9 | 4.7 | 4.0 | 4.2 | 3.6 | 4.2 | -10.6 |
| 45-64 | 10.1 | 10.6 | 12.6 | 11.7 | 8.9 | -11.9 | 3.5 | 3.1 | 2.8 | 2.4 | 2.1 | -40.0 |
| ≥65 | 3.7 | 3.8 | 4.4 | 4.2 | 3.8 | 2.7 | 1.4 | 1.1 | 1.0 | 0.7 | 0.8 | -42.9 |
| 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2014-2018 |
2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2014-2018 |
|
Sources:
Centers for Disease Control and Prevention. National Center for Health Statistics. National Health Interview Survey 2014-2018. Analysis by the American Lung Association Research Team using SPSS software.
- N/A Not Available
- * Persons 18 years or older.
- Who had ever used electronic cigarettes decreased 7 percent from 12.6 percent to 11.7 percent.
- Who were current users of electronic cigarettes decreased 12 percent from 3.7 percent to 3.2 percent.
- These changes were not consistent across the demographic groups depicted in the table.
Electronic Cigarettes
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 0.6 | 1.1 | 1.1 | 3.9 | 5.3 | 4.3 | 3.3 | 4.9 | 10.5 | 1.5 | 2.7 | 4.5 | 13.4 | 16.0 | 11.3 | 11.7 | 20.7 | 27.5 |
| Male | 0.7 | 1.4 | 1.4 | 4.5 | 5.9 | 5.1 | 3.7 | 5.1 | 10.2 | 2.3 | 3.6 | 5.5 | 15.0 | 19.0 | 13.1 | 13.3 | 22.6 | 27.6 |
| Female | 0.4 | 0.8 | 0.9 | 3.3 | 4.8 | 3.4 | 2.9 | 4.8 | 10.8 | 0.7 | 1.9 | 3.5 | 11.9 | 12.8 | 9.5 | 9.9 | 18.8 | 27.4 |
| Non-Hispanic White | 0.6 | 0.9 | 0.9 | 3.1 | 4.4 | 3.7 | 3.4 | 4.9 | 10.3 | 1.8 | 3.3 | 4.8 | 15.3 | 17.2 | 13.7 | 14.2 | 26.8 | 32.4 |
| Non-Hispanic Black | N/A | N/A | N/A | 3.8 | 4.1 | 4.0 | 2.2 | 3.0 | 8.6 | N/A | 1.1 | 2.7 | 5.6 | 8.9 | 6.2 | 4.9 | 7.5 | 17.7 |
| Hispanic | N/A | 1.9 | 1.8 | 6.2 | 8.3 | 5.6 | 4.0 | 6.6 | 13.1 | 1.3 | 2.6 | 5.3 | 15.3 | 16.4 | 10.3 | 10.1 | 14.8 | 23.2 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Increased 1650 percent among middle school students, from 0.6 percent to 10.5 percent.
- Increased 1733 percent among high school students, from 1.5 percent to 27.5 percent. This was a 33 percent increase from the 2018 rate of 20.7 percent.
- In 2019, close to 2.9 million children started using e-cigarettes, or more than 7,900 per day. This was an increase from more than 2.2 million in 2018 and close to 2.1 million in 2017.
- In 2019, 69 percent of youth who used an e-cigarette reported using a flavored e-cigarette. Rates were higher among high school (72%) than middle school (60%) students.
- In 2019, most e-cigarette-using youth reported using a type with refillable pods or cartridges, such as JUUL (54%), followed by a refillable tank system (24%) most often. This matches most e-cigarette-using youth reporting their usual brand being JUUL (58%), followed by some other brand (19%) or no usual brand (15%) which could align with users of refillable tank systems.
Trends in Adult Use of Other Tobacco Products
Any Tobacco Product
From 2002 to 2018, current use of any tobacco product (cigarettes, cigars, pipe tobacco, and smokeless tobacco):Percent of Adults Who Use Any Tobacco† by Age and Sex, 2002-2018*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | ||||||||||||||||||
| 18-25 | 45.3 | 44.8 | 44.6 | 44.3 | 43.9 | 41.8 | 41.4 | 41.6 | 40.8 | 39.5 | 38.1 | 37.0 | 35.0 | 33.0 | 30.0 | 29.1 | 25.8 | -43.0 |
| ≥26 | 29.9 | 29.3 | 28.5 | 29.0 | 29.4 | 28.5 | 28.3 | 27.3 | 27.2 | 26.3 | 27.0 | 25.7 | 25.8 | 24.5 | 24.6 | 23.4 | 22.8 | -23.7 |
| Male | ||||||||||||||||||
| 18-25 | 52.1 | 51.7 | 51.7 | 51.6 | 51.0 | 50.0 | 48.8 | 49.9 | 48.9 | 47.5 | 46.6 | 46.3 | 43.7 | 40.0 | 37.5 | 36.2 | 31.4 | -39.7 |
| ≥26 | 37.3 | 36.0 | 35.7 | 36.0 | 36.9 | 35.6 | 35.0 | 33.1 | 33.8 | 32.3 | 33.6 | 31.3 | 31.8 | 30.7 | 30.7 | 30.2 | 28.5 | -23.6 |
| Female | ||||||||||||||||||
| 18-25 | 38.4 | 37.8 | 37.4 | 36.9 | 36.8 | 33.6 | 33.8 | 33.3 | 32.7 | 31.4 | 29.4 | 27.7 | 26.3 | 25.9 | 22.4 | 21.8 | 20.2 | -47.4 |
| ≥26 | 23.2 | 23.1 | 22.0 | 22.6 | 22.5 | 22.0 | 22.2 | 21.9 | 21.1 | 20.8 | 21.0 | 20.6 | 20.2 | 18.8 | 19.1 | 17.2 | 17.5 | -24.6 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2018.
- Decreased 43 percent among those ages 18-25, from 45.3 percent to 25.8 percent.
- Decreased 24 percent among those aged 26 or older, from 29.9 percent to 23.4 percent.
- Decreased 40 percent among men ages 18-25, from 52.1 percent to 36.2 percent.
- Decreased 24 percent among men aged 26 or older, from 37.3 percent to 30.2 percent.
- Decreased 47 percent among women ages 18-25, from 38.4 percent to 21.8 percent.
- Decreased 25 percent among women aged 26 or older, from 23.2 percent to 17.5 percent.
Smokeless Tobacco
From 2002 to 2018, current use of smokeless tobacco:Percent of Adults Who Use Smokeless Tobacco by Age and Sex, 2002-2018*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | ||||||||||||||||||
| 18-25 | 4.8 | 4.7 | 4.9 | 5.1 | 5.2 | 5.3 | 5.4 | 6.1 | 6.4 | 5.4 | 5.5 | 5.8 | 5.6 | 5.4 | 5.2 | 4.8 | 4.4 | -8.7 |
| ≥26 | 3.2 | 3.2 | 2.7 | 3.0 | 3.2 | 3.0 | 3.3 | 3.1 | 3.1 | 3.0 | 3.3 | 3.1 | 3.0 | 3.2 | 3.1 | 3.1 | 2.8 | -12.1 |
| Male | ||||||||||||||||||
| 18-25 | 9.4 | 8.9 | 9.5 | 9.7 | 9.9 | 9.9 | 10.3 | 11.4 | 11.9 | 10.3 | 10.5 | 10.8 | 10.7 | 10.0 | 9.6 | 8.8 | 7.4 | -21.1 |
| ≥26 | 6.3 | 6.0 | 5.3 | 5.8 | 6.3 | 5.9 | 6.5 | 6.2 | 6.2 | 5.8 | 6.5 | 6.1 | 6.0 | 6.1 | 6.1 | 6.0 | 5.4 | -13.6 |
| Female | ||||||||||||||||||
| 18-25 | 0.3 | 0.4 | 0.4 | 0.5 | 0.4 | 0.5 | 0.4 | 0.4 | 0.7 | 0.6 | 0.5 | 0.8 | 0.5 | 0.8 | 0.8 | 0.7 | 1.3 | 341.7 |
| ≥26 | 0.5 | 0.6 | 0.3 | 0.4 | 0.3 | 0.3 | 0.3 | 0.2 | 0.3 | 0.4 | 0.4 | 0.4 | 0.3 | 0.6 | 0.4 | 0.5 | 0.4 | -22.4 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2018.
- N/A - Not Available
- * Current use ( within last month).
- Decreased 9 percent among those ages 18-25, from 4.8 percent to 4.4 percent.
- Decreased 12 percent among those aged 26 or older, from 3.2 percent to 2.8 percent.
- Decreased 21 percent among men ages 18-25, from 9.4 percent to 7.4 percent.
- Decreased 14 percent among men aged 26 or older, from 6.3 percent to 5.4 percent.
- Increased 342 percent among women ages 18-25, from 0.3 percent to 1.3 percent.
- Decreased 22 percent among women aged 26 or older, from 0.5 percent to 0.4 percent.
Cigars
From 2002 to 2018, current use of cigars:Percent of Adults Who Use Cigars by Age and Sex, 2002-2018*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | ||||||||||||||||||
| 18-25 | 11.0 | 11.4 | 12.7 | 12.0 | 12.1 | 11.8 | 11.3 | 11.4 | 11.3 | 10.9 | 10.7 | 10.0 | 9.7 | 8.9 | 8.8 | 9.1 | 8.5 | -22.8 |
| ≥26 | 4.6 | 4.5 | 4.6 | 4.7 | 4.6 | 4.4 | 4.4 | 4.4 | 4.4 | 4.2 | 4.5 | 4.1 | 3.9 | 4.3 | 4.2 | 4.2 | 4.1 | -10.1 |
| Male | ||||||||||||||||||
| 18-25 | 16.8 | 17.3 | 19.7 | 18.3 | 18.7 | 18.4 | 17.2 | 17.4 | 16.8 | 16.0 | 16.4 | 14.9 | 14.1 | 12.6 | 12.6 | 13.2 | 11.8 | -29.9 |
| ≥26 | 8.5 | 7.9 | 8.4 | 8.6 | 8.1 | 7.8 | 8.0 | 7.6 | 7.6 | 7.3 | 7.8 | 7.0 | 6.9 | 7.3 | 7.1 | 7.2 | 6.8 | -20.0 |
| Female | ||||||||||||||||||
| 18-25 | 5.2 | 5.5 | 5.8 | 5.6 | 5.5 | 5.1 | 5.3 | 5.4 | 5.7 | 5.7 | 5.1 | 5.0 | 5.3 | 5.1 | 5.0 | 5.1 | 5.2 | -0.5 |
| ≥26 | 1.0 | 1.3 | 1.1 | 1.1 | 1.4 | 1.2 | 1.1 | 1.4 | 1.5 | 1.4 | 1.5 | 1.6 | 1.2 | 1.5 | 1.5 | 1.5 | 1.7 | 67.6 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2018.
- Decreased 23 percent among those ages 18-25, from 11.0 percent to 8.5 percent.
- Decreased 10 percent among those aged 26 or older, from 4.6 percent to 4.1 percent.
- Decreased 30 percent among men ages 18-25, from 16.8 percent to 11.8 percent.
- Decreased 20 percent among men aged 26 or older, from 8.5 percent to 6.8 percent.
- Remained stable among women ages 18-25 at 5.2 percent.
- Increased 68 percent among women aged 26 or older, from 1.0 percent to 1.7 percent.
Pipe Tobacco
From 2002 to 2018, current use of pipe tobacco:Percent of Adults Who Use Pipe Tobacco by Age and Sex, 2002-2018*
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total | ||||||||||||||||||
| 18-25 | 1.1 | 0.9 | 1.2 | 1.5 | 1.3 | 1.2 | 1.4 | 1.7 | 1.8 | 1.9 | 1.8 | 2.2 | 1.9 | 1.8 | 1.7 | 1.6 | 1.9 | 68.8 |
| ≥26 | 0.8 | 0.6 | 0.7 | 0.8 | 0.9 | 0.8 | 0.6 | 0.7 | 0.7 | 0.7 | 0.9 | 0.7 | 0.7 | 0.8 | 0.7 | 0.8 | 0.7 | -11.6 |
| Male | ||||||||||||||||||
| 18-25 | 1.7 | 1.4 | 2.1 | 2.3 | 2.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2.7 | 55.9 |
| ≥26 | 1.3 | 1.2 | 1.3 | 1.6 | 1.7 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.1 | -13.3 |
| Female | ||||||||||||||||||
| 18-25 | 0.4 | 0.4 | 0.4 | 0.6 | 0.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.1 | 164.5 |
| ≥26 | 0.2 | 0.1 | 0.1 | 0.2 | 0.2 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.3 | 59.5 |
| 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 |
% Change 2002-2018 |
Source:
Substance Abuse and Mental Health Services Administration. Office of Applied Studies. National Survey on Drug Use and Health, 2002-2018.
- N/A - Not Available
- * Current use ( within last month).
- Increased 69 percent among those ages 18-25, from 1.1 percent to 1.9 percent.
- Decreased 12 percent among those aged 26 or older, from 0.8 percent to 0.7 percent.
Trends in Youth Use of Other Tobacco Products
Any Tobacco Product
From 2002 to 2019, current use of any tobacco product:Any Tobacco*
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 13.3 | 11.8 | 9.5 | 8.2 | 7.5 | 6.9 | 6.9 | 8.1 | 7.9 | 8.0 | 6.4 | 8.1 | 12.5 | 28.2 | 27.4 | 25.6 | 23.9 | 24.2 | 23.7 | 23.7 | 25.4 | 26.3 | 20.2 | 21.5 | 28.6 | 31.2 |
| Male | 14.7 | 12.7 | 10.9 | 9.6 | 9.0 | 8.1 | 7.0 | 9.3 | 9.0 | 9.6 | 7.6 | 9.2 | 12.5 | 32.6 | 30.7 | 30.2 | 29.4 | 29.4 | 28.9 | 28.3 | 29.4 | 31.4 | 23.5 | 25.3 | 31.1 | 31.8 |
| Female | 11.7 | 10.7 | 8.2 | 6.7 | 5.9 | 5.7 | 6.7 | 7.0 | 6.8 | 6.4 | 5.1 | 7.0 | 12.4 | 23.7 | 24.1 | 21.3 | 18.2 | 19.0 | 18.3 | 19.0 | 21.6 | 21.0 | 17.0 | 17.8 | 26.1 | 30.6 |
| Non-Hispanic White | 13.2 | 11.2 | 9.2 | 7.1 | 6.1 | 5.3 | 5.7 | 6.4 | 6.5 | 6.4 | 5.4 | 7.1 | 11.4 | 30.9 | 30.8 | 28.4 | 26.7 | 26.6 | 24.9 | 24.5 | 27.1 | 26.8 | 23.0 | 23.7 | 33.4 | 35.6 |
| Non-Hispanic Black | 13.5 | 12.3 | 9.8 | 8.3 | 8.5 | 8.0 | 7.4 | 7.8 | 7.1 | 9.3 | 6.0 | 7.6 | 12.3 | 21.7 | 16.8 | 15.7 | 14.0 | 18.9 | 23.1 | 21.9 | 18.3 | 23.3 | 16.4 | 18.3 | 19.2 | 25.4 |
| Hispanic | 12.5 | 14.8 | 10.9 | 11.1 | 11.5 | 10.8 | 10.6 | 12.7 | 11.7 | 10.7 | 9.1 | 11.0 | 16.1 | 24.1 | 25.7 | 24.7 | 24.8 | 23.8 | 22.9 | 24.9 | 27.9 | 26.6 | 18.3 | 20.2 | 24.2 | 26.6 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- Decreased 6 percent among middle school students, from 13.3 percent to 12.5 percent.
- Increased 11 percent among high school students, from 28.2 percent to 31.2 percent.
Cigarettes
From 2002 to 2019, current use of cigarettes:Cigarettes
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 9.8 | 8.1 | 6.3 | 5.2 | 4.3 | 3.5 | 12.7 | 2.5 | 2.3 | 2.2 | 2.1 | 1.8 | 2.3 | 22.5 | 21.7 | 19.7 | 17.2 | 15.8 | 14.0 | 12.7 | 9.2 | 9.3 | 8.0 | 7.6 | 8.1 | 5.8 |
| Male | 9.8 | 7.7 | 6.3 | 5.6 | 4.5 | 3.8 | 14.1 | 3.0 | 2.3 | 2.5 | 2.0 | 2.1 | 2.1 | 23.9 | 21.6 | 21.2 | 19.6 | 17.7 | 16.3 | 14.1 | 10.6 | 10.7 | 9.1 | 7.6 | 8.8 | 7.3 |
| Female | 9.7 | 8.6 | 6.4 | 4.7 | 4.0 | 3.2 | 11.2 | 2.0 | 2.2 | 1.8 | 2.2 | 1.5 | 2.5 | 21.0 | 21.8 | 18.4 | 14.8 | 13.8 | 11.7 | 11.2 | 7.9 | 7.7 | 6.9 | 7.6 | 7.3 | 4.1 |
| Non-Hispanic White | 10.1 | 8.3 | 6.5 | 4.3 | 3.8 | 3.1 | 2.6 | 2.2 | 2.1 | 1.9 | 1.7 | 1.6 | 2.1 | 25.2 | 24.8 | 22.3 | 19.4 | 17.6 | 15.4 | 14.0 | 10.8 | 10.2 | 9.9 | 9.5 | 9.9 | 7.1 |
| Non-Hispanic Black | 9.0 | 7.5 | 5.5 | 5.2 | 3.6 | 2.6 | 1.7 | 1.7 | N/A | N/A | 2.1 | N/A | N/A | 13.8 | 10.9 | 9.9 | 7.4 | 10.6 | 9.6 | 9.0 | 4.5 | 5.7 | 3.9 | 2.8 | 3.2 | N/A |
| Hispanic | 8.7 | 9.4 | 6.8 | 6.7 | 6.7 | 5.4 | 5.1 | 3.7 | 2.8 | 2.5 | 3.5 | 2.4 | 3.1 | 19.8 | 20.5 | 18.8 | 19.2 | 15.8 | 14.3 | 13.4 | 8.8 | 9.0 | 6.4 | 6.2 | 7.2 | 3.8 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 77 percent among middle school students, from 9.8 percent to 2.3 percent.
- Decreased 74 percent among high school students, from 22.5 percent to 5.8 percent.
Cigars
From 2002 to 2019, current use of cigars:Cigars
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 6.0 | 5.2 | 4.0 | 3.9 | 3.4 | 2.8 | 3.1 | 1.9 | 1.6 | 2.2 | 1.5 | 1.7 | 2.3 | 11.6 | 12.9 | 11.8 | 10.9 | 11.6 | 12.6 | 11.9 | 8.2 | 8.6 | 7.7 | 7.7 | 7.5 | 7.6 |
| Male | 7.9 | 6.6 | 5.3 | 4.6 | 4.3 | 3.2 | 3.3 | 2.4 | 1.8 | 2.7 | 1.6 | 1.7 | 2.7 | 16.9 | 18.4 | 16.6 | 15.0 | 15.7 | 16.7 | 15.4 | 10.8 | 11.5 | 9.0 | 9.0 | 9.0 | 9.0 |
| Female | 4.1 | 3.8 | 2.7 | 3.2 | 2.5 | 2.4 | 2.9 | 1.4 | 1.4 | 1.7 | 1.4 | 1.6 | 2.0 | 6.2 | 7.6 | 7.2 | 6.7 | 7.4 | 8.4 | 8.3 | 5.5 | 5.6 | 5.6 | 6.3 | 6.0 | 6.2 |
| Non-Hispanic White | 5.5 | 4.4 | 3.1 | 3.0 | 2.3 | 1.6 | 2.2 | 1.4 | 1.2 | 1.4 | 1.1 | 1.1 | 1.8 | 11.8 | 13.7 | 12.5 | 11.9 | 12.1 | 12.2 | 11.4 | 8.3 | 8.4 | 7.9 | 8.4 | 7.8 | 7.6 |
| Non-Hispanic Black | 7.3 | 6.9 | 5.8 | 4.7 | 5.7 | 5.0 | 4.5 | 2.0 | 2.0 | 4.5 | 1.9 | 2.9 | N/A | 12.0 | 10.0 | 8.9 | 7.1 | 11.7 | 16.7 | 14.7 | 8.8 | 12.8 | 9.5 | 7.8 | 9.2 | 12.3 |
| Hispanic | 6.3 | 8.0 | 6.1 | 6.2 | 6.1 | 4.9 | 4.7 | 2.9 | 2.2 | 2.8 | 2.4 | 2.2 | 3.1 | 10.8 | 13.5 | 12.4 | 11.8 | 11.3 | 12.4 | 12.1 | 8.0 | 7.3 | 7.2 | 6.7 | 7.3 | 6.2 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- Decreased 62 percent among middle school students, from 6.0 percent to 2.3 percent.
- Decreased 34 percent among high school students, from 11.6 percent to 6.5 percent.
Hookah
From 2011 to 2019, current use of hookahs:Hookah
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 1.0 | 1.2 | 1.1 | 2.5 | 2.0 | 2.0 | 1.3 | 1.2 | 1.6 | 4.0 | 5.2 | 5.2 | 9.3 | 7.2 | 4.8 | 3.2 | 4.1 | 3.4 |
| Male | 1.0 | 1.5 | 0.9 | 2.4 | 1.9 | 2.1 | 1.6 | 1.5 | 1.3 | 4.5 | 5.9 | 5.6 | 8.9 | 7.4 | 4.5 | 3.3 | 4.0 | 3.6 |
| Female | 0.9 | 1.0 | 1.3 | 2.6 | 2.0 | 1.9 | 1.1 | 1.0 | 1.8 | 3.4 | 4.4 | 4.8 | 9.8 | 6.9 | 5.1 | 3.2 | 4.1 | 3.2 |
| Non-Hispanic White | 0.9 | 0.8 | 0.7 | 1.4 | 1.6 | 0.9 | 0.6 | 0.8 | N/A | 4.1 | 5.9 | 5.3 | 9.4 | 6.9 | 4.5 | 2.8 | 3.3 | 2.5 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | 2.8 | 1.8 | N/A | N/A | N/A | 2.1 | 2.4 | 5.6 | 6.4 | 4.1 | 3.1 | 3.7 | 6.4 |
| Hispanic | 1.5 | 2.9 | 2.4 | 5.6 | 3.2 | 3.7 | 2.7 | 2.2 | 2.4 | 4.8 | 6.3 | 7.1 | 13.0 | 8.7 | 6.4 | 4.6 | 6.0 | 4.0 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 2 percent among middle school students.
- Remained the same at about four percent among high school students.
Smokeless Tobacco
From 2002 to 2019, current use of smokeless tobacco:Smokeless Tobacco
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 3.6 | 2.9 | 2.6 | 2.6 | 2.2 | 1.7 | 1.4 | 1.6 | 1.4 | 1.8 | 1.4 | 1.3 | 1.8 | 5.9 | 5.5 | 6.1 | 6.7 | 7.3 | 6.4 | 5.7 | 5.5 | 5.6 | 4.3 | 4.1 | 4.3 | 4.8 |
| Male | 5.3 | 3.9 | 4.1 | 3.7 | 3.0 | 2.2 | 1.9 | 2.1 | 1.9 | 2.4 | 2.0 | 2.2 | 2.7 | 10.5 | 9.9 | 11.0 | 11.6 | 12.9 | 11.2 | 9.6 | 9.9 | 9.4 | 7.2 | 6.8 | 7.5 | 7.5 |
| Female | 1.6 | 1.9 | 1.2 | 1.4 | 1.4 | 1.2 | 0.8 | N/A | 0.8 | 1.1 | 0.8 | 0.3 | N/A | 1.2 | 1.2 | 1.5 | 1.8 | 1.6 | 1.5 | 1.7 | 1.2 | 1.6 | 1.4 | 1.3 | 1.3 | 1.8 |
| Non-Hispanic White | 3.8 | 3.1 | 2.8 | 2.5 | 2.3 | 1.6 | 1.4 | 1.7 | 1.2 | 1.6 | 1.2 | 1.4 | 1.9 | 7.3 | 6.9 | 7.5 | 8.5 | 9.2 | 8.1 | 7.5 | 7.8 | 7.5 | 5.7 | 5.7 | 6.0 | 6.5 |
| Non-Hispanic Black | 2.3 | 1.8 | 1.7 | 1.7 | 1.0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.8 | 1.4 | 1.8 | 1.7 | 3.0 | 2.2 | 2.4 | 1.1 | 1.9 | 1.6 | N/A | N/A | N/A |
| Hispanic | 2.7 | 3.7 | 3.4 | 2.5 | 2.9 | 2.4 | 1.8 | 1.3 | 1.9 | 2.4 | 2.3 | 1.4 | N/A | 3.3 | 3.2 | 4.6 | 4.8 | 5.1 | 5.1 | 4.0 | 3.1 | 3.8 | 2.7 | 2.2 | 2.5 | 2.5 |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 50 percent among middle school students, from 3.6 percent to 1.8 percent.
- Decreased 19 percent among high school students, from 5.9 percent to 4.8 percent.
Snus
From 2011 to 2019, current use of snus:Snus
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 0.8 | 0.7 | 0.4 | 0.5 | 0.5 | 0.9 | 0.6 | 0.5 | 0.6 | 2.8 | 2.4 | 1.8 | 1.9 | 1.2 | 2.2 | 2.0 | 2.4 | 1.7 |
| Male | 0.9 | 0.9 | 0.7 | 0.7 | N/A | 1.3 | 0.5 | 0.5 | 0.9 | 4.8 | 3.8 | 2.7 | 3.0 | 2.2 | 2.7 | 2.1 | 2.8 | 2.5 |
| Female | 0.7 | 0.5 | 0.2 | 0.3 | N/A | 0.5 | 0.6 | 0.6 | N/A | 0.7 | 0.9 | 0.9 | 0.8 | 1.2 | 1.8 | 1.9 | 1.9 | 0.8 |
| Non-Hispanic White | 0.9 | 0.7 | N/A | N/A | N/A | 1.0 | 0.5 | 0.6 | 0.6 | 3.6 | 3.2 | 2.4 | 2.4 | 1.5 | 2.7 | 2.7 | 2.9 | 2.2 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | N/A | N/A | N/A | N/A | N/A |
| Hispanic | 0.9 | 1.1 | N/A | 1.1 | N/A | 1.2 | 1.1 | 0.8 | N/A | 2.2 | 1.8 | 1.3 | 1.5 | 1.3 | 1.8 | 1.5 | 2.0 | 1.0 |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 1 percent among middle school students.
- Decreased 39 percent among high school students, from 2.8 percent to 1.7 percent.
Dissolvable Tobacco
From 2011 to 2019, current use of dissolvable tobacco:Dissolvable Tobacco
| Middle School | High School | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 0.3 | 0.5 | N/A | 0.3 | N/A | 0.4 | 0.3 | 0.3 | 0.3 | 0.4 | 0.8 | 0.4 | 1.9 | 0.4 | 0.9 | 0.6 | 0.7 | 0.5 |
| Male | N/A | 0.6 | N/A | 0.4 | N/A | 0.5 | N/A | N/A | 0.5 | 0.6 | 1.0 | 0.6 | 3.0 | 0.7 | 1.0 | 0.7 | 0.9 | 0.6 |
| Female | N/A | 0.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | N/A | 0.8 | N/A | 0.8 | 0.5 | 0.5 | 0.3 |
| Non-Hispanic White | N/A | 0.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.6 | 0.3 | 2.4 | N/A | 0.8 | 0.5 | 0.8 | 0.2 |
| Non-Hispanic Black | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Hispanic | N/A | 0.9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 1.4 | N/A | 1.5 | N/A | 1.2 | 1.0 | 0.9 | N/A |
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Remained the same at less than 1 percent among middle school students.
- Remained the same at less than 2 percent among high school students.
Pipes
From 2002 to 2019, current use of pipes:Pipes
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 3.5 | 2.6 | 2.2 | 2.3 | 2.2 | 1.8 | 1.9 | 0.5 | 0.4 | 0.7 | 0.4 | 0.3 | N/A | 3.2 | 3.2 | 3.7 | 3.9 | 3.9 | 4.5 | 4.1 | 1.5 | 1.0 | 1.4 | 0.8 | 1.1 | 1.1 |
| Male | 5.1 | 3.3 | 3.0 | 2.7 | 2.7 | 1.9 | 1.6 | 0.6 | N/A | 0.8 | 0.6 | N/A | N/A | 5.0 | 4.8 | 5.6 | 5.3 | 5.1 | 5.8 | 5.0 | 2.1 | 1.4 | 1.8 | 1.0 | 1.4 | 1.5 |
| Female | 1.9 | 1.8 | 1.3 | 1.7 | 1.8 | 1.7 | 2.2 | 0.5 | N/A | 0.6 | N/A | 0.4 | N/A | 1.4 | 1.5 | 1.8 | 2.5 | 2.8 | 3.2 | 3.3 | 0.9 | 0.7 | 0.9 | 0.5 | 0.8 | N/A |
| Non-Hispanic White | 2.8 | 2.2 | 1.9 | 1.5 | 1.5 | 1.2 | 1.2 | 0.5 | N/A | N/A | N/A | N/A | N/A | 2.8 | 3.1 | 3.6 | 3.3 | 3.5 | 4.5 | 3.7 | 1.9 | 1.0 | 1.4 | 0.7 | 1.1 | 1.3 |
| Non-Hispanic Black | 3.9 | 2.0 | 1.5 | 1.9 | 1.3 | 1.2 | 1.7 | N/A | N/A | N/A | N/A | N/A | N/A | 3.7 | 1.7 | 2.2 | 3.6 | 2.4 | 2.9 | 3.5 | N/A | N/A | 1.2 | N/A | N/A | N/A |
| Hispanic | 4.3 | 5.3 | 4.3 | 4.5 | 5.0 | 3.7 | 4.3 | 0.9 | N/A | 1.7 | N/A | 0.6 | N/A | 4.6 | 4.8 | 5.3 | 6.8 | 6.3 | 6.2 | 6.5 | 1.5 | 1.5 | 1.2 | 1.3 | 1.4 | N/A |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased from 3.5 percent to too low to measure among middle school students.
- Decreased 66 percent among high school students, from 3.2 percent to 1.1 percent.
Bidis
From 2002 to 2019, current use of bidis:Bidis
| Middle School | High School | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
| Total | 2.4 | 2.4 | 1.7 | 1.6 | 1.7 | 0.6 | 0.4 | 0.5 | N/A | 0.3 | 0.3 | 0.3 | 0.4 | 3.2 | 2.7 | 2.9 | 2.4 | 2.0 | 0.9 | 0.6 | 0.9 | 0.6 | 0.5 | 0.6 | 0.7 | 0.4 |
| Male | 3.1 | 2.8 | 1.9 | 2.0 | 1.9 | 0.7 | N/A | 0.7 | N/A | 0.4 | N/A | N/A | 0.5 | 5.0 | 3.7 | 3.3 | 2.7 | 2.9 | 1.2 | 0.8 | 1.2 | 0.9 | 0.7 | 0.7 | 0.9 | 0.5 |
| Female | 1.7 | 1.7 | 1.5 | 1.2 | 1.4 | 0.4 | N/A | 0.3 | N/A | N/A | N/A | N/A | N/A | 1.4 | 1.6 | 2.4 | 2.1 | 1.0 | 0.5 | 0.5 | 0.6 | N/A | N/A | 0.6 | 0.6 | N/A |
| Non-Hispanic White | 1.8 | 1.8 | 1.2 | 1.1 | 1.0 | 0.3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2.8 | 2.4 | 2.6 | 1.7 | 1.4 | 0.7 | 0.6 | 0.8 | 0.5 | N/A | 0.5 | 0.8 | N/A |
| Non-Hispanic Black | 3.1 | 3.1 | 2.3 | 1.9 | 1.9 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 3.7 | 2.1 | 2.7 | 3.7 | 2.0 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Hispanic | 2.9 | 2.9 | 3.3 | 2.6 | 3.5 | 1.2 | N/A | 0.6 | N/A | N/A | N/A | N/A | N/A | 4.6 | 4.8 | 4.6 | 3.7 | 3.7 | 1.3 | 0.7 | 1.1 | 0.9 | 0.6 | 1.1 | 1.0 | N/A |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 83 percent among middle school students from 2.4 percent to 0.4 percent.
- Decreased 88 percent among high school students, from 3.2 percent to 0.4 percent.
Cloves/Kreteks
From 2002 to 2013, current use of cloves/kreteks:Cloves/Kreteks
| Middle School | High School | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | |
| Total | 2.0 | 1.5 | 1.4 | 1.2 | 1.1 | 0.5 | 0.4 | 2.7 | 2.5 | 2.8 | 2.4 | 1.6 | 0.9 | 0.8 |
| Male | 2.7 | 1.9 | 1.7 | 1.6 | 1.3 | 0.5 | 0.5 | 3.5 | 3.4 | 3.6 | 2.9 | 2.4 | 1.4 | 1.2 |
| Female | 1.1 | 1.2 | 1.0 | 0.7 | 0.9 | 0.4 | N/A | 1.8 | 1.6 | 2.0 | 1.9 | 0.8 | 0.4 | 0.5 |
| Non-Hispanic White | 1.5 | 1.2 | 1.0 | 0.8 | 0.6 | N/A | N/A | 2.7 | 2.5 | 3.0 | 2.4 | 1.4 | 1.1 | 1.0 |
| Non-Hispanic Black | 2.3 | 1.6 | 1.7 | 1.4 | N/A | N/A | N/A | 1.9 | 1.3 | 1.7 | 1.8 | N/A | N/A | N/A |
| Hispanic | 2.6 | 3.0 | 2.6 | 1.8 | 2.5 | 1.0 | N/A | 3.0 | 3.6 | 3.2 | 2.9 | 2.5 | 0.9 | N/A |
| 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | 2002 | 2004 | 2006 | 2009 | 2011 | 2012 | 2013 | |
Current use is defined as using the product on one or more of the past 30 days.
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2013. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Decreased 80 percent among middle school students from 2.0 percent to 0.4 percent.
- Decreased 70 percent among high school students, from 2.7 percent to 0.8 percent.
Heated Tobacco Products
In 2019, current use of heated tobacco products:Heated Tobacco Products
| Middle School | High School | |
|---|---|---|
| 2019 | 2019 | |
| Total | 1.4 | 1.7 |
| Male | 1.6 | 1.8 |
| Female | 1.2 | 1.6 |
| Non-Hispanic White | 1.0 | 1.6 |
| Non-Hispanic Black | N/A | 2.3 |
| Hispanic | 2.2 | 1.9 |
| 2019 | 2019 |
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2019. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software.
- N/A Estimate is unreliable due to a sample size of less than 20.
- Was at 1.4 percent among middle school students.
- Was at 1.7 percent among high school students.
