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Youth Risk Behavior Surveillance — United States, 2017

Supplementary Tables 52-93: Tobacco Use


TABLE 52. Percentage of high school students who ever tried cigarette smoking,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 27.3 (23.9–31.0) 30.7 (27.8–33.7) 28.9 (26.0–32.0)
Race/Ethnicity
White§ 29.1 (23.9–34.9) 33.0 (29.5–36.7) 31.0 (27.0–35.2)
Black§ 21.2 (17.8–25.1) 20.8 (16.7–25.5) 21.1 (18.1–24.4)
Hispanic 27.5 (23.3–32.1) 31.8 (26.6–37.4) 29.7 (25.6–34.2)
Grade
9 20.3 (17.2–23.8) 21.4 (18.2–25.1) 20.9 (18.2–23.9)
10 24.6 (20.2–29.7) 27.8 (24.7–31.1) 26.1 (23.0–29.6)
11 30.5 (25.7–35.8) 35.8 (31.9–39.9) 33.1 (29.8–36.6)
12 34.8 (30.5–39.4) 39.5 (34.0–45.2) 37.1 (33.0–41.4)
Sexual identity
Heterosexual (straight) 25.7 (22.8–28.8) 30.5 (27.3–33.8) 28.2 (25.4–31.1)
Gay, lesbian, or bisexual 42.1 (36.1–48.4) 40.2 (34.1–46.6) 41.8 (36.6–47.1)
Not sure 25.4 (17.9–34.8) 28.6 (21.8–36.4) 27.5 (21.8–34.1)
Sex of sexual contacts
Opposite sex only 40.0 (35.7–44.5) 46.1 (41.4–50.9) 43.3 (39.1–47.6)
Same sex only or both sexes 57.4 (50.4–64.1) 56.8 (47.7–65.4) 57.2 (51.6–62.7)
No sexual contact 12.9 (11.2–14.8) 13.2 (11.0–15.8) 13.0 (11.6–14.6)

* Even one or two puffs.
95% confidence interval
§ Non-Hispanic.

TABLE 53. Percentage of high school students who ever tried cigarette smoking,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 32.4 (27.9–37.2) 35.3 (30.8–40.1) 34.0 (30.4–37.7) §
Arizona 27.3 (21.0–34.6) 32.0 (26.1–38.6) 29.9 (25.0–35.4) 26.9 (22.3–32.0) 50.4 (37.2–63.6) 38.5 (24.7–54.4)
Arkansas 35.0 (28.0–42.7) 36.0 (29.5–43.0) 35.6 (29.6–42.0) 33.5 (27.0–40.7) 49.8 (38.2–61.4) 32.6 (19.5–49.2) 48.5 (38.9–58.1) 49.7 (24.7–75.0) 16.4 (13.0–20.6)
California 22.0 (17.4–27.4) 23.6 (19.1–28.7) 22.8 (18.8–27.4) 22.3 (18.5–26.6) 30.9 (20.7–43.4) 17.2 (8.4–32.1) 33.6 (28.2–39.5) 48.4 (36.9–60.1) 11.0 (7.7–15.5)
Colorado
Connecticut
Delaware 21.9 (18.5–25.8) 23.7 (20.7–27.0) 22.7 (20.2–25.4) 21.8 (19.4–24.5) 32.4 (24.8–41.0) 21.6 (12.2–35.5) 31.8 (28.8–35.0) 43.9 (35.0–53.1) 9.0 (6.9–11.7)
Florida 18.1 (16.3–20.1) 18.9 (17.0–21.0) 18.6 (17.2–20.1) 16.7 (15.2–18.2) 33.1 (29.1–37.3) 22.3 (17.5–28.0) 28.1 (25.4–30.9) 42.4 (36.7–48.2) 6.7 (5.8–7.8)
Hawaii
Idaho 27.0 (23.6–30.8) 28.1 (23.2–33.6) 27.6 (23.8–31.7)
Illinois 25.6 (22.7–28.9) 28.4 (24.0–33.2) 27.3 (24.2–30.7) 25.7 (22.5–29.2) 41.3 (32.4–50.8) 22.3 (15.8–30.7) 39.9 (35.4–44.7) 58.8 (50.3–66.7) 11.1 (8.9–13.8)
Iowa 29.2 (24.5–34.5) 28.6 (22.3–35.9) 29.1 (25.7–32.9) 25.8 (22.0–30.1) 58.1 (41.4–73.0) 39.3 (26.0–54.4) 40.0 (34.1–46.3) 68.9 (59.2–77.1) 11.9 (8.1–17.3)
Kansas 23.0 (19.3–27.2) 29.8 (25.7–34.3) 26.5 (23.2–29.9)
Kentucky 39.8 (34.3–45.6) 41.2 (35.8–47.0) 40.5 (35.8–45.4) 39.1 (34.6–43.9) 55.6 (46.7–64.2) 32.1 (20.4–46.5) 58.0 (51.9–64.0) 68.2 (57.8–77.1) 21.5 (17.6–26.0)
Louisiana 39.2 (33.0–45.8) 40.7 (34.5–47.2) 40.0 (35.2–45.0)
Maine 23.2 (20.8–25.8) 25.6 (23.6–27.6) 24.5 (22.6–26.5) 22.7 (20.8–24.9) 36.8 (32.6–41.2) 27.7 (21.9–34.4) 33.5 (31.2–35.9) 48.7 (43.2–54.4) 9.8 (8.7–11.1)
Maryland
Massachusetts 16.9 (13.9–20.5) 22.3 (18.5–26.6) 19.6 (17.1–22.5) 19.1 (16.4–22.0) 27.2 (22.5–32.5) 17.3 (9.2–30.3) 31.4 (27.4–35.8) 38.6 (32.1–45.6) 7.1 (5.6–8.9)
Michigan 31.3 (25.3–38.0) 30.8 (23.8–38.7) 31.1 (25.2–37.7) 28.0 (22.7–34.1) 57.7 (44.9–69.5) 31.7 (19.4–47.3) 43.2 (35.4–51.3) 65.3 (55.7–73.8) 13.0 (9.6–17.3)
Missouri 30.0 (25.1–35.5) 27.2 (21.8–33.3) 28.6 (24.1–33.6)
Montana 34.1 (30.9–37.4) 33.6 (30.8–36.6) 33.9 (31.3–36.6)
Nebraska 22.5 (18.2–27.5) 25.3 (21.9–29.1) 24.0 (21.0–27.3) 21.5 (18.4–25.0) 50.6 (38.7–62.5) 27.7 (15.8–43.8) 38.2 (33.2–43.4) 60.3 (43.9–74.6) 10.9 (7.9–14.7)
Nevada 24.4 (20.0–29.4) 24.6 (21.0–28.7) 24.6 (21.4–28.2) 23.2 (20.0–26.8) 33.1 (24.8–42.7) 22.6 (13.6–35.2) 36.2 (30.4–42.4) 45.2 (36.3–54.4) 12.0 (8.9–16.1)
New Hampshire
New Mexico 33.4 (29.7–37.3) 37.0 (33.4–40.8) 35.3 (31.9–38.8) 32.9 (29.8–36.1) 50.5 (44.5–56.5) 36.7 (29.7–44.3) 50.4 (46.2–54.5) 63.5 (56.7–69.8) 17.2 (14.7–20.1)
New York 17.1 (14.7–19.8) 15.4 (13.0–18.1) 16.4 (14.2–18.8) 14.8 (12.7–17.2) 26.8 (21.4–33.0) 18.4 (15.0–22.3) 26.3 (23.1–29.8) 42.0 (35.0–49.4) 6.4 (4.7–8.6)
North Carolina
North Dakota 28.8 (24.8–33.1) 32.1 (27.9–36.5) 30.5 (27.2–34.1) 28.5 (25.3–32.0) 51.7 (44.4–59.0) 23.3 (14.5–35.4)
Oklahoma 39.5 (34.6–44.7) 38.1 (33.7–42.8) 38.8 (35.1–42.7) 37.8 (34.0–41.9) 57.8 (45.8–68.9) 32.2 (16.4–53.4) 57.1 (51.9–62.1) 65.6 (51.3–77.5) 15.1 (12.0–19.0)
Pennsylvania 27.6 (25.0–30.4) 28.3 (24.6–32.2) 28.0 (25.5–30.6) 26.7 (24.2–29.4) 43.6 (36.2–51.4) 23.5 (16.5–32.2) 40.1 (35.8–44.5) 57.6 (49.8–65.1) 13.3 (11.2–15.7)
Rhode Island 17.7 (13.1–23.5) 20.6 (17.3–24.4) 19.5 (16.5–22.8) 18.0 (15.0–21.4) 34.2 (21.0–50.3) 16.4 (11.6–22.7) 29.2 (24.8–34.0) 39.5 (28.9–51.0) 7.3 (5.1–10.4)
South Carolina 32.2 (27.7–36.9) 32.8 (28.3–37.6) 32.6 (28.8–36.7) 29.7 (26.0–33.7) 54.2 (46.5–61.8) 27.4 (17.4–40.5) 42.4 (36.5–48.5) 67.5 (55.5–77.6) 15.7 (12.1–20.2)
Tennessee 30.4 (25.8–35.4) 32.5 (28.7–36.4) 31.6 (28.1–35.2)
Texas
Utah 16.1 (10.5–23.8) 17.1 (12.6–22.8) 16.7 (11.9–22.8)
Vermont
Virginia
West Virginia 37.1 (34.1–40.1) 41.8 (37.4–46.3) 39.5 (36.6–42.5) 37.4 (34.0–41.0) 61.3 (52.9–69.1) 28.0 (14.1–47.9) 55.7 (52.2–59.2) 65.2 (54.9–74.2) 16.0 (13.6–18.7)
Wisconsin 23.7 (20.6–27.1) 25.2 (21.3–29.5) 24.4 (21.6–27.4) 22.7 (19.5–26.3) 40.1 (33.9–46.6) 22.6 (14.5–33.5) 33.7 (28.9–39.0) 50.2 (38.2–62.1) 11.8 (9.1–15.0)
Median 27.4 28.5 28.3 25.8 46.7 25.5 39.1 53.9 11.9
Range 16.1–39.8 15.4–41.8 16.4–40.5 14.8–39.1 26.8–61.3 16.4–39.3 26.3–58.0 38.6–68.9 6.4–21.5
Large urban school district surveys
Baltimore, MD 15.5 (12.2–19.4) 17.3 (13.3–22.3) 16.9 (14.3–19.7) 16.2 (12.7–20.4) 22.5 (13.7–34.6) 21.5 (10.2–39.8) 22.0 (16.4–29.0) 21.9 (12.9–34.9) 9.8 (6.5–14.6)
Boston, MA
Broward County, FL 18.3 (12.3–26.2) 20.8 (15.8–26.8) 19.5 (15.3–24.7) 18.9 (14.6–24.0) 23.6 (13.9–37.0) 9.0 (4.1–18.7) 26.1 (20.4–32.6) 35.5 (22.1–51.7) 8.8 (5.4–13.8)
Chicago, IL 28.0 (24.3–32.1) 26.5 (22.3–31.1) 27.3 (24.1–30.7) 25.3 (21.8–29.1) 34.1 (27.7–41.3) 33.9 (22.9–46.9) 36.6 (30.8–42.8) 49.6 (39.9–59.4) 14.7 (12.2–17.7)
Cleveland, OH 29.5 (26.1–33.2) 21.2 (17.8–25.0) 25.3 (22.9–27.9) 21.6 (19.1–24.5) 47.4 (40.5–54.4) 25.6 (15.4–39.5) 26.4 (22.8–30.2) 40.8 (33.9–48.2) 16.0 (12.4–20.5)
DeKalb County, GA 15.4 (12.8–18.5) 19.7 (16.4–23.4) 17.5 (15.1–20.2) 15.6 (13.0–18.6) 29.7 (23.4–37.0) 19.9 (11.7–31.7) 23.7 (19.7–28.2) 42.0 (33.6–50.8) 6.7 (5.1–8.7)
Detroit, MI 20.5 (17.1–24.4) 25.5 (20.8–30.9) 22.8 (19.9–26.0) 21.3 (17.8–25.3) 30.7 (22.8–39.9) 24.2 (11.8–43.3) 28.1 (22.6–34.5) 33.3 (23.8–44.4) 13.4 (10.5–17.0)
District of Columbia
Duval County, FL
Ft. Worth, TX 24.9 (22.4–27.6) 29.5 (26.7–32.4) 27.2 (25.1–29.4) 24.9 (22.9–27.0) 48.0 (41.4–54.7) 30.9 (22.8–40.3) 41.3 (38.0–44.7) 57.5 (48.8–65.8) 13.3 (11.4–15.4)
Houston, TX 26.1 (23.7–28.6) 26.5 (24.2–28.9) 26.4 (24.7–28.1) 23.6 (21.9–25.4) 41.1 (35.6–46.9) 35.0 (26.6–44.4) 37.5 (34.4–40.7) 47.5 (40.6–54.5) 13.9 (12.0–16.0)
Los Angeles, CA 18.6 (15.1–22.7) 16.9 (14.3–19.9) 17.8 (15.4–20.5) 16.9 (14.0–20.2) 33.9 (22.4–47.6) 13.2 (6.9–24.0) 24.2 (20.2–28.7) 40.7 (28.0–54.9) 10.9 (8.7–13.7)
Miami-Dade County, FL 20.7 (18.3–23.4) 20.2 (16.9–24.0) 20.6 (18.4–23.0) 19.0 (16.7–21.6) 30.8 (24.2–38.3) 31.2 (21.7–42.6) 27.4 (24.3–30.7) 42.5 (36.2–49.1) 8.9 (6.9–11.4)
New York City, NY 13.4 (11.9–15.2) 16.1 (13.7–18.9) 15.0 (13.2–17.0) 13.2 (11.6–15.0) 24.8 (21.1–28.8) 18.0 (14.7–21.9) 22.7 (18.9–27.1) 33.9 (28.5–39.8) 7.8 (6.6–9.1)
Oakland, CA
Orange County, FL 13.8 (10.9–17.4) 19.9 (16.4–24.0) 17.1 (14.3–20.3) 15.8 (12.9–19.2) 25.5 (18.3–34.4) 21.5 (12.6–34.4) 26.7 (22.0–31.9) 29.3 (20.7–39.7) 8.3 (6.0–11.4)
Palm Beach County, FL 18.5 (15.8–21.7) 16.5 (13.8–19.7) 17.6 (15.5–19.9) 15.0 (12.7–17.5) 33.0 (26.1–40.8) 29.5 (20.2–40.8) 25.0 (21.5–28.9) 38.2 (31.1–45.7) 7.3 (5.9–9.1)
Philadelphia, PA 15.6 (13.0–18.6) 23.5 (18.3–29.5) 19.4 (16.1–23.3) 17.7 (14.5–21.4) 25.2 (16.6–36.2) 24.1 (11.3–44.2) 26.6 (22.3–31.4) 33.2 (19.8–50.1) 9.5 (7.0–12.7)
San Diego, CA
San Francisco, CA 14.3 (12.4–16.4) 18.9 (16.1–21.9) 16.7 (14.7–18.8) 16.0 (13.9–18.2) 27.6 (20.0–36.6) 15.8 (10.4–23.4) 31.4 (27.2–36.0) 42.6 (33.1–52.8) 7.3 (5.8–9.2)
Shelby County, TN 15.2 (12.4–18.5) 17.8 (14.4–21.7) 16.4 (14.2–18.9) 14.4 (12.3–16.9) 29.4 (22.5–37.4) 20.9 (11.2–35.7) 18.5 (15.2–22.4) 38.2 (28.3–49.1) 9.3 (6.5–13.1)
Median 18.4 20.0 18.6 17.3 30.2 22.8 26.5 39.5 9.4
Range 13.4–29.5 16.1–29.5 15.0–27.3 13.2–25.3 22.5–48.0 9.0–35.0 18.5–41.3 21.9–57.5 6.7–16.0

* Even one or two puffs.
95% confidence interval.
§ Not available.

TABLE 54. Percentage of high school students who first tried cigarette smoking before age 13 years,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 8.0 (6.5–9.8) 10.9 (9.3–12.9) 9.5 (8.0–11.2)
Race/Ethnicity
White§ 7.7 (5.6–10.6) 10.0 (7.9–12.7) 8.9 (6.9–11.3)
Black§ 10.9 (8.3–14.1) 10.5 (7.9–13.9) 10.8 (8.8–13.0)
Hispanic 7.1 (5.9–8.6) 13.0 (10.5–16.1) 10.1 (8.5–12.1)
Grade
9 8.4 (6.3–11.1) 10.6 (8.5–13.1) 9.5 (7.7–11.7)
10 7.7 (5.8–10.1) 10.6 (8.7–12.9) 9.1 (7.7–10.8)
11 8.3 (6.0–11.4) 10.7 (8.6–13.4) 9.5 (7.5–12.1)
12 7.5 (5.7–9.8) 11.6 (8.4–15.9) 9.5 (7.3–12.3)
Sexual identity
Heterosexual (straight) 7.0 (5.8–8.4) 10.4 (8.7–12.5) 8.8 (7.5–10.3)
Gay, lesbian, or bisexual 13.2 (10.1–17.1) 15.9 (12.3–20.3) 14.2 (11.5–17.4)
Not sure 12.1 (6.5–21.4) 16.7 (12.2–22.5) 14.8 (9.6–22.1)
Sex of sexual contacts
Opposite sex only 10.3 (8.1–12.9) 16.1 (13.4–19.3) 13.5 (11.4–15.8)
Same sex only or both sexes 23.1 (18.0–29.2) 26.2 (19.2–34.6) 23.9 (19.9–28.4)
No sexual contact 3.5 (2.7–4.5) 4.3 (3.4–5.6) 3.9 (3.2–4.7)

* Even one or two puffs.
95% confidence interval.
§ Non-Hispanic.

TABLE 55. Percentage of high school students who first tried cigarette smoking before age 13 years,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska §
Arizona 6.8 (4.4–10.4) 9.9 (6.9–13.9) 8.5 (6.2–11.5) 7.2 (5.4–9.4) 15.8 (9.2–25.6) 15.7 (6.5–33.4)
Arkansas 14.0 (11.5–17.0) 17.7 (14.8–21.0) 16.1 (13.8–18.7) 14.4 (11.6–17.8) 26.9 (18.4–37.6) 21.7 (10.6–39.3) 19.6 (15.9–23.9) 26.5 (16.8–39.2) 7.7 (5.6–10.4)
California 6.7 (4.8–9.2) 8.2 (6.3–10.8) 7.5 (6.0–9.3) 7.1 (5.6–9.1) 9.3 (5.1–16.3) 11.1 (3.7–29.0) 8.3 (6.0–11.4) 21.1 (13.0–32.4) 4.1 (2.9–5.9)
Colorado
Connecticut
Delaware 8.9 (7.0–11.3) 10.3 (8.4–12.6) 9.6 (8.4–11.0) 9.3 (8.0–10.9) 11.2 (7.2–17.1) 10.2 (3.8–24.6) 12.7 (10.7–14.9) 19.0 (13.3–26.3) 4.3 (3.1–5.9)
Florida 5.7 (4.7–6.8) 7.8 (6.8–8.9) 6.8 (6.1–7.5) 5.7 (5.0–6.6) 11.6 (9.2–14.5) 13.4 (10.1–17.8) 9.2 (7.9–10.7) 16.8 (13.6–20.5) 2.4 (2.0–3.0)
Hawaii 8.2 (7.0–9.6) 12.8 (10.8–15.0) 10.8 (9.6–12.2) 8.5 (7.5–9.6) 20.7 (15.8–26.5) 20.9 (13.7–30.6) 13.0 (11.3–15.0) 29.1 (22.9–36.1) 4.2 (3.3–5.3)
Idaho 8.1 (6.4–10.2) 8.8 (6.5–11.8) 8.5 (6.8–10.7)
Illinois 8.1 (6.2–10.3) 12.4 (10.2–15.1) 10.5 (9.1–12.1) 8.3 (7.0–9.8) 23.1 (16.7–31.1) 10.4 (5.9–17.6) 11.7 (9.6–14.0) 34.6 (26.5–43.8) 4.3 (3.2–5.7)
Iowa 7.3 (5.5–9.8) 9.3 (6.8–12.6) 8.6 (6.7–11.0) 6.7 (4.8–9.2) 22.8 (13.2–36.7) 14.5 (6.1–30.7) 9.1 (6.7–12.2) 26.9 (14.6–44.2) 3.6 (1.7–7.7)
Kansas 6.8 (5.0–9.1) 10.9 (7.7–15.3) 8.9 (6.7–11.8)
Kentucky 14.2 (11.3–17.8) 16.5 (13.9–19.5) 15.5 (13.1–18.3) 14.1 (11.8–16.7) 23.8 (17.2–31.9) 20.6 (12.1–33.0) 20.2 (16.3–24.7) 32.7 (22.4–45.0) 7.4 (5.6–9.7)
Louisiana 12.3 (8.5–17.6) 20.6 (17.3–24.3) 16.7 (13.6–20.4)
Maine
Maryland
Massachusetts 4.2 (3.1–5.6) 7.1 (5.8–8.7) 5.7 (4.7–6.9) 5.4 (4.4–6.7) 7.5 (4.9–11.3) 6.0 (2.3–14.4) 8.1 (6.5–10.1) 8.8 (5.3–14.1) 2.8 (2.0–3.8)
Michigan 9.5 (6.7–13.3) 11.4 (6.8–18.4) 10.7 (7.2–15.5) 9.1 (5.6–14.4) 20.1 (12.4–31.1) 19.5 (12.3–29.6) 14.3 (9.5–21.1) 28.8 (17.0–44.4) 4.1 (2.4–7.0)
Missouri 9.2 (6.7–12.6) 10.4 (7.9–13.7) 9.8 (7.4–12.9)
Montana 10.5 (8.1–13.6) 10.5 (8.6–12.7) 10.6 (8.7–12.9)
Nebraska 7.6 (5.3–10.8) 9.1 (6.9–11.9) 8.4 (6.5–10.8) 6.8 (4.9–9.2) 20.8 (12.7–32.1) 17.3 (7.7–34.6) 11.9 (8.9–15.8) 20.5 (12.4–32.0) 3.7 (2.3–5.9)
Nevada 8.0 (6.3–10.2) 12.0 (9.2–15.5) 10.2 (8.3–12.5) 9.9 (8.0–12.2) 12.7 (7.6–20.5) 11.6 (6.4–20.1) 14.7 (11.2–19.1) 16.2 (9.7–25.7) 5.4 (3.7–7.9)
New Hampshire 5.2 (4.5–6.0) 7.7 (6.9–8.6) 6.6 (6.1–7.2) 5.6 (5.0–6.1) 12.6 (10.4–15.1) 10.6 (8.0–13.9) 8.1 (7.4–9.0) 23.9 (20.0–28.3) 2.6 (2.0–3.2)
New Mexico 11.8 (9.6–14.5) 14.9 (13.0–17.0) 13.5 (11.8–15.4) 11.9 (10.3–13.8) 21.0 (17.3–25.2) 20.8 (14.4–29.1) 18.5 (15.9–21.3) 26.5 (20.4–33.8) 6.4 (5.0–8.2)
New York
North Carolina
North Dakota 9.7 (7.5–12.4) 12.4 (10.4–14.6) 11.2 (9.6–12.9) 9.7 (8.1–11.4) 25.0 (19.4–31.5) 9.3 (5.0–16.6)
Oklahoma 11.1 (8.8–13.9) 13.8 (10.4–18.0) 12.4 (10.0–15.4) 12.1 (9.5–15.3) 16.8 (10.6–25.6) 12.0 (4.7–27.5) 16.6 (12.9–21.2) 25.9 (17.4–36.7) 5.9 (3.7–9.2)
Pennsylvania 8.7 (7.0–10.8) 10.1 (8.1–12.3) 9.4 (8.0–11.0) 8.6 (7.2–10.3) 15.7 (12.3–19.9) 11.3 (6.5–19.0) 11.8 (9.3–14.9) 22.7 (16.4–30.6) 5.1 (4.0–6.5)
Rhode Island 7.3 (4.5–11.7) 6.8 (4.8–9.5) 7.3 (5.2–10.2) 6.2 (4.3–8.9) 12.2 (6.2–22.5) 15.0 (8.5–25.1) 9.5 (7.6–11.8) 20.5 (12.4–32.0) 2.2 (1.1–4.3)
South Carolina 10.7 (7.9–14.2) 13.8 (11.7–16.2) 12.5 (10.6–14.6) 10.7 (9.3–12.3) 21.5 (16.4–27.6) 20.1 (11.3–33.2) 14.6 (12.1–17.4) 26.9 (19.1–36.5) 6.4 (4.4–9.2)
Tennessee 9.7 (7.2–12.9) 14.3 (11.1–18.3) 12.3 (9.9–15.2)
Texas 8.6 (6.8–10.8) 13.3 (10.9–16.0) 11.1 (9.8–12.7) 9.6 (8.3–11.0) 18.3 (13.4–24.5) 17.6 (8.5–33.1) 13.7 (11.3–16.5) 26.7 (20.3–34.2) 5.4 (4.1–7.0)
Utah 9.6 (4.4–19.9) 10.2 (6.4–15.9) 10.0 (5.5–17.5)
Vermont 6.4 (6.0–6.9) 8.9 (8.3–9.5) 7.8 (7.5–8.2) 7.0 (6.6–7.4) 13.1 (11.7–14.6) 11.1 (9.2–13.4) 9.8 (9.2–10.4) 21.1 (18.9–23.5) 2.8 (2.5–3.2)
Virginia 6.0 (4.7–7.6) 9.7 (7.9–11.9) 8.0 (6.8–9.4)
West Virginia 12.8 (10.6–15.4) 16.7 (13.7–20.3) 15.0 (13.0–17.2) 14.0 (11.9–16.4) 27.0 (18.8–37.2) 11.9 (5.0–26.1) 20.4 (17.2–23.9) 26.5 (18.7–36.0) 5.9 (4.4–7.8)
Wisconsin 7.1 (5.2–9.7) 7.9 (5.6–10.9) 7.6 (6.0–9.6) 6.7 (5.1–8.7) 13.7 (9.9–18.8) 9.0 (5.5–14.5) 8.1 (5.8–11.1) 21.0 (13.4–31.3) 4.2 (2.8–6.2)
Median 8.4 10.4 9.9 8.6 17.6 12.7 12.3 24.9 4.2
Range 4.2–14.2 6.8–20.6 5.7–16.7 5.4–14.4 7.5–27.0 6.0–21.7 8.1–20.4 8.8–34.6 2.2–7.7
Large urban school district surveys
Baltimore, MD 9.3 (6.4–13.3) 10.3 (7.1–14.7) 9.9 (7.8–12.6) 7.9 (5.8–10.7) 18.2 (10.6–29.5) 20.5 (9.0–40.4) 11.2 (7.2–17.1) 16.1 (9.2–26.7) 4.7 (2.5–8.6)
Boston, MA 6.3 (4.6–8.6) 11.7 (9.3–14.7) 9.1 (7.4–11.2) 8.1 (6.5–10.2) 10.5 (5.9–18.1) 21.3 (12.6–33.7) 10.7 (7.9–14.3) 19.1 (11.9–29.1) 3.7 (2.5–5.4)
Broward County, FL 5.5 (3.4–8.6) 12.0 (8.6–16.5) 8.9 (6.8–11.6) 8.4 (6.2–11.3) 11.7 (6.1–21.2) 7.2 (3.0–16.4) 7.4 (4.6–11.8) 16.7 (9.7–27.1) 7.0 (4.2–11.6)
Chicago, IL 9.0 (6.9–11.6) 10.3 (7.6–13.8) 9.9 (8.0–12.1) 7.8 (6.3–9.5) 14.5 (9.0–22.4) 22.1 (12.4–36.2) 10.3 (8.0–13.1) 21.3 (16.0–27.7) 5.3 (3.9–7.0)
Cleveland, OH
DeKalb County, GA 6.6 (4.8–8.9) 9.9 (8.0–12.3) 8.2 (6.7–10.1) 6.4 (4.8–8.3) 17.2 (12.2–23.6) 10.6 (5.3–20.4) 9.0 (6.6–12.1) 26.2 (18.4–35.8) 2.7 (1.7–4.1)
Detroit, MI 9.4 (7.1–12.3) 16.2 (12.8–20.3) 12.6 (10.4–15.1) 10.3 (8.0–13.1) 20.8 (14.4–29.0) 19.1 (8.0–38.8) 13.7 (9.8–19.0) 22.0 (15.3–30.5) 6.4 (4.2–9.7)
District of Columbia 9.6 (8.6–10.6) 13.9 (12.7–15.1) 12.1 (11.3–13.0) 10.2 (9.4–11.1) 19.8 (17.3–22.7) 17.8 (13.7–22.8) 13.0 (11.6–14.4) 21.5 (18.6–24.8) 4.6 (3.8–5.5)
Duval County, FL 10.8 (9.3–12.6) 13.5 (11.5–15.9) 12.5 (11.0–14.0) 9.1 (7.8–10.6) 22.5 (18.3–27.4) 20.3 (14.1–28.2) 12.6 (10.5–15.1) 24.4 (20.1–29.2) 4.5 (3.2–6.3)
Ft. Worth, TX 7.5 (6.1–9.1) 11.9 (10.2–13.9) 9.8 (8.7–11.1) 8.3 (7.2–9.6) 20.4 (16.0–25.8) 17.0 (10.9–25.5) 12.9 (10.8–15.3) 23.7 (17.5–31.2) 4.5 (3.4–5.8)
Houston, TX 8.7 (7.2–10.4) 10.8 (9.3–12.5) 10.0 (8.9–11.3) 7.7 (6.5–9.0) 18.3 (14.3–23.2) 24.7 (17.1–34.2) 11.0 (9.1–13.2) 23.5 (17.8–30.3) 5.4 (4.2–6.9)
Los Angeles, CA 4.4 (2.7–6.9) 7.3 (5.6–9.5) 5.9 (4.4–8.0) 5.8 (4.1–8.1) 9.0 (4.6–16.9) 5.3 (2.2–11.8) 7.6 (5.3–10.8) 13.0 (6.6–24.1) 4.1 (2.2–7.5)
Miami-Dade County, FL 5.2 (4.1–6.5) 8.2 (6.4–10.3) 7.0 (5.7–8.6) 6.1 (4.9–7.6) 13.0 (8.6–19.1) 12.5 (5.8–24.8) 7.4 (5.9–9.3) 15.8 (11.2–21.8) 3.0 (2.0–4.6)
New York City, NY
Oakland, CA 9.3 (7.3–11.7) 12.3 (9.9–15.2) 11.2 (9.4–13.2) 10.9 (9.1–12.9) 14.7 (9.6–21.8) 8.7 (4.3–17.0) 15.1 (12.2–18.5) 22.0 (14.8–31.4) 5.0 (3.4–7.4)
Orange County, FL 4.6 (3.0–6.8) 8.5 (6.6–10.9) 6.7 (5.3–8.5) 5.3 (3.9–7.1) 13.6 (8.9–20.2) 14.7 (6.9–28.6) 8.5 (6.1–11.8) 13.9 (8.0–22.9) 3.1 (1.7–5.6)
Palm Beach County, FL 6.8 (5.1–9.1) 7.7 (6.0–9.9) 7.5 (6.2–8.9) 5.9 (4.8–7.3) 15.3 (10.4–22.0) 12.4 (7.1–20.6) 8.9 (6.9–11.4) 20.7 (15.3–27.4) 2.9 (2.0–4.0)
Philadelphia, PA 7.1 (5.3–9.5) 10.8 (7.4–15.5) 8.9 (6.5–12.1) 8.5 (6.4–11.2) 9.7 (5.1–17.7) 18.7 (7.2–40.7) 11.2 (8.0–15.5) 16.5 (6.9–34.8) 5.1 (3.8–6.6)
San Diego, CA
San Francisco, CA 4.1 (3.0–5.6) 8.6 (6.8–10.8) 6.5 (5.3–8.0) 5.9 (4.7–7.3) 9.4 (5.3–16.2) 11.1 (6.5–18.4) 10.3 (7.8–13.5) 18.0 (11.1–27.8) 2.7 (2.0–3.8)
Shelby County, TN 6.8 (5.1–8.8) 11.1 (8.5–14.4) 9.1 (7.3–11.2) 7.2 (5.6–9.2) 18.3 (13.5–24.2) 16.5 (8.1–30.8) 9.4 (7.1–12.4) 20.5 (14.5–28.1) 3.6 (2.3–5.5)
Median 6.9 10.8 9.1 7.8 15.0 16.7 10.5 20.6 4.5
Range 4.1–10.8 7.3–16.2 5.9–12.6 5.3–10.9 9.0–22.5 5.3–24.7 7.4–15.1 13.0–26.2 2.7–7.0

* Even one or two puffs.
95% confidence interval.
§ Not available.

TABLE 56. Percentage of high school students who currently smoked cigarettes,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 7.8 (6.0–9.9) 9.8 (8.3–11.6) 8.8 (7.2–10.7)
Race/Ethnicity
White§ 9.9 (7.4–13.2) 12.3 (10.5–14.5) 11.1 (9.0–13.6)
Black§ 2.8 (1.7–4.6) 5.7 (4.1–8.0) 4.4 (3.2–5.9)
Hispanic 6.6 (5.2–8.3) 7.4 (5.7–9.7) 7.0 (5.8–8.6)
Grade
9 4.9 (3.3–7.2) 5.6 (3.8–8.1) 5.2 (3.8–7.0)
10 6.8 (4.9–9.2) 8.4 (6.8–10.3) 7.6 (6.2–9.3)
11 8.6 (6.3–11.7) 10.2 (8.0–13.1) 9.5 (7.4–12.0)
12 11.1 (8.4–14.4) 15.7 (13.1–18.8) 13.4 (10.9–16.2)
Sexual identity
Heterosexual (straight) 6.6 (5.2–8.4) 9.4 (7.7–11.4) 8.1 (6.7–9.8)
Gay, lesbian, or bisexual 15.4 (11.4–20.5) 17.7 (12.8–24.0) 16.2 (12.6–20.5)
Not sure 8.6 (4.2–16.7) 9.7 (6.0–15.2) 10.1 (6.1–16.3)
Sex of sexual contacts
Opposite sex only 12.1 (9.8–14.9) 15.9 (12.7–19.6) 14.2 (11.5–17.3)
Same sex only or both sexes 24.9 (18.2–33.1) 23.4 (15.1–34.3) 24.5 (18.0–32.5)
No sexual contact 1.5 (0.9–2.5) 2.3 (1.6–3.3) 1.9 (1.5–2.4)

* On at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 57. Percentage of high school students who currently smoked cigarettes,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 10.3 (7.0–14.9) 11.1 (8.8–13.9) 10.9 (8.8–13.4) §
Arizona 6.2 (4.4–8.8) 7.5 (5.3–10.6) 7.1 (5.2–9.6) 5.4 (4.0–7.2) 19.4 (12.6–28.7) 8.2 (3.0–20.5)
Arkansas 11.7 (8.6–15.9) 14.8 (11.1–19.6) 13.7 (10.8–17.2) 11.9 (9.0–15.7) 21.5 (12.9–33.6) 20.1 (9.4–37.8) 19.4 (15.0–24.8) 28.1 (12.5–51.7) 2.5 (1.5–4.0)
California 4.6 (2.7–7.6) 6.4 (4.7–8.6) 5.4 (4.3–6.9) 5.5 (4.3–6.9) 5.4 (2.0–13.9) 6.1 (1.9–18.3) 9.5 (6.8–13.3) 13.4 (5.9–27.9) 1.1 (0.7–1.9)
Colorado 7.2 (5.4–9.5) 6.6 (4.0–10.7) 7.0 (5.3–9.2) 5.7 (3.9–8.4) 19.1 (15.2–23.6) 10.0 (5.0–19.0)
Connecticut 5.9 (4.5–7.8) 9.8 (7.1–13.5) 7.9 (6.4–9.7) 5.8 (4.2–7.9) 18.7 (14.0–24.6) 12.3 (6.7–21.5) 9.4 (6.7–13.2) 24.4 (19.4–30.2) 1.8 (1.1–2.9)
Delaware 5.2 (3.8–7.1) 7.2 (5.4–9.6) 6.2 (4.9–7.7) 5.2 (3.9–7.0) 11.0 (7.3–16.3) 11.1 (5.1–22.6) 8.6 (6.5–11.4) 15.7 (9.8–24.2) 1.5 (0.7–3.0)
Florida 4.9 (4.1–5.9) 6.5 (5.3–8.1) 5.7 (4.9–6.7) 4.6 (3.8–5.5) 12.7 (10.5–15.4) 10.1 (7.1–14.2) 8.6 (7.0–10.5) 15.8 (12.8–19.5) 1.3 (0.9–1.8)
Hawaii 5.7 (4.7–6.9) 9.3 (7.7–11.3) 8.1 (6.9–9.5) 6.1 (5.2–7.2) 15.3 (11.2–20.5) 15.5 (10.9–21.5) 11.0 (8.5–14.1) 21.4 (16.7–27.0) 1.7 (1.2–2.3)
Idaho 8.3 (6.4–10.7) 9.8 (7.6–12.6) 9.1 (7.3–11.3)
Illinois 6.5 (5.4–7.9) 8.3 (5.6–12.1) 7.6 (6.0–9.7) 6.6 (5.2–8.3) 13.9 (9.6–19.7) 5.3 (2.7–10.2) 10.8 (8.4–13.9) 21.0 (15.0–28.6) 1.8 (1.0–3.2)
Iowa 11.1 (6.8–17.6) 8.4 (5.8–12.2) 9.9 (7.4–13.2) 7.2 (5.3–9.6) 33.7 (20.7–49.7) 24.2 (10.4–46.6) 14.4 (9.5–21.3) 38.4 (22.9–56.6) 1.7 (0.6–4.5)
Kansas 5.2 (3.6–7.6) 9.0 (7.0–11.6) 7.2 (5.6–9.1)
Kentucky 14.0 (10.7–18.1) 14.3 (10.6–19.1) 14.3 (11.3–17.9) 13.0 (10.1–16.7) 24.3 (17.0–33.4) 14.6 (7.1–27.9) 22.6 (17.7–28.3) 37.8 (30.6–45.6) 4.3 (2.9–6.4)
Louisiana 11.8 (8.3–16.6) 12.4 (8.0–18.5) 12.3 (9.2–16.3)
Maine 7.1 (5.9–8.6) 9.9 (8.8–11.1) 8.7 (7.6–9.9) 7.6 (6.5–8.8) 14.7 (12.3–17.4) 12.2 (8.4–17.5) 12.2 (10.7–13.8) 23.6 (19.4–28.4) 1.8 (1.4–2.1)
Maryland 6.3 (5.8–6.8) 9.3 (8.8–9.9) 8.2 (7.8–8.6) 5.8 (5.4–6.1) 17.2 (15.7–18.7) 11.3 (9.7–13.1)
Massachusetts 3.9 (2.8–5.4) 8.7 (6.5–11.5) 6.4 (5.0–8.0) 6.1 (4.7–7.8) 7.1 (4.3–11.3) 9.4 (4.7–18.1) 10.0 (7.5–13.1) 14.5 (10.0–20.6) 1.5 (0.9–2.5)
Michigan 10.2 (6.8–15.0) 10.4 (5.4–19.2) 10.5 (6.3–16.9) 8.2 (4.6–14.4) 27.0 (14.3–44.9) 16.4 (9.9–26.0) 15.8 (9.2–25.7) 28.8 (19.6–40.1) 2.0 (0.7–5.7)
Missouri 8.1 (6.3–10.3) 10.2 (7.3–14.2) 9.2 (7.3–11.4)
Montana 11.5 (9.9–13.3) 12.3 (10.7–14.2) 12.1 (10.8–13.4)
Nebraska 7.0 (4.7–10.3) 7.4 (5.1–10.4) 7.4 (5.7–9.6) 6.3 (4.6–8.7) 19.7 (12.4–29.6) 7.0 (3.0–15.6) 12.1 (9.0–16.2) 32.0 (19.2–48.1) 1.9 (0.7–5.0)
Nevada 7.0 (4.8–10.2) 6.4 (4.5–8.9) 6.7 (5.1–8.8) 6.3 (4.6–8.5) 9.4 (6.3–13.9) 8.3 (3.1–20.2) 11.0 (7.8–15.3) 13.3 (8.0–21.2) 2.2 (1.1–4.1)
New Hampshire 6.6 (5.8–7.5) 8.7 (7.7–9.7) 7.8 (7.1–8.6) 6.8 (6.1–7.6) 13.2 (11.0–15.8) 13.7 (10.3–18.0) 11.5 (10.5–12.6) 26.6 (22.4–31.3) 1.6 (1.2–2.0)
New Mexico 9.0 (6.8–11.9) 11.9 (9.8–14.2) 10.6 (8.6–12.9) 8.7 (7.3–10.2) 19.2 (14.5–25.0) 21.1 (14.0–30.5) 16.7 (14.2–19.6) 28.0 (21.8–35.2) 2.3 (1.7–3.0)
New York 5.0 (3.7–6.7) 5.4 (4.3–6.6) 5.5 (4.5–6.6) 4.0 (2.9–5.5) 10.9 (8.9–13.3) 10.1 (7.4–13.8) 8.5 (6.2–11.5) 16.7 (12.0–22.6) 1.1 (0.5–2.1)
North Carolina 9.3 (7.8–11.1) 14.6 (11.6–18.2) 12.1 (10.2–14.3) 10.6 (8.9–12.4) 20.1 (15.4–25.7) 20.2 (12.2–31.4) 15.9 (13.6–18.6) 30.1 (21.4–40.5) 3.7 (2.6–5.3)
North Dakota 12.9 (10.3–16.1) 12.3 (9.6–15.6) 12.6 (10.5–15.1) 11.4 (9.3–14.0) 26.4 (20.5–33.2) 6.2 (2.6–14.2)
Oklahoma 11.9 (9.0–15.6) 13.1 (10.1–16.9) 12.5 (10.0–15.4) 11.7 (9.2–14.8) 20.3 (13.2–29.9) 14.1 (5.1–33.4) 20.0 (16.1–24.4) 26.4 (18.3–36.5) 2.9 (1.7–5.0)
Pennsylvania 7.7 (6.1–9.7) 9.5 (7.8–11.7) 8.7 (7.5–10.2) 7.8 (6.6–9.2) 19.9 (14.7–26.5) 4.5 (1.7–11.1) 13.1 (10.9–15.7) 27.2 (20.0–35.7) 2.0 (1.4–2.9)
Rhode Island 4.7 (3.0–7.4) 6.6 (3.9–10.9) 6.1 (4.3–8.7) 4.4 (2.5–7.7) 15.3 (7.4–29.2) 14.1 (8.6–22.4) 8.4 (4.7–14.4) 18.4 (10.0–31.6) 0.8 (0.3–2.0)
South Carolina 9.5 (6.9–13.2) 10.2 (7.8–13.3) 10.0 (8.7–11.6) 8.4 (6.8–10.3) 23.2 (15.2–33.7) 7.2 (1.8–24.8) 13.7 (11.2–16.6) 33.7 (21.7–48.2) 2.6 (1.5–4.5)
Tennessee 8.5 (6.2–11.7) 9.9 (7.6–12.9) 9.4 (7.2–12.1)
Texas 5.5 (3.7–7.9) 8.9 (7.4–10.5) 7.4 (6.2–8.7) 6.7 (5.6–8.1) 11.2 (7.0–17.4) 6.3 (3.5–10.9) 11.8 (9.6–14.5) 20.3 (13.0–30.5) 0.9 (0.5–1.6)
Utah 3.0 (1.9–4.7) 4.3 (3.0–6.1) 3.8 (2.8–5.1)
Vermont 7.8 (7.3–8.3) 10.5 (9.9–11.1) 9.3 (8.9–9.7) 8.2 (7.8–8.6) 17.4 (15.8–19.1) 11.3 (9.3–13.5) 13.0 (12.4–13.7) 30.2 (27.6–32.8) 1.3 (1.1–1.6)
Virginia 5.5 (4.4–6.8) 7.3 (6.0–9.0) 6.5 (5.6–7.5)
West Virginia 10.3 (8.0–13.2) 17.7 (13.8–22.5) 14.4 (11.4–18.0) 12.1 (9.2–15.7) 34.7 (27.1–43.1) 16.0 (7.5–30.8) 19.4 (15.4–24.2) 38.4 (27.0–51.4) 3.4 (2.1–5.6)
Wisconsin 6.4 (4.8–8.6) 9.1 (7.4–11.1) 7.8 (6.6–9.3) 6.8 (5.5–8.3) 15.8 (12.2–20.2) 6.7 (2.8–15.1) 10.7 (8.7–13.1) 27.6 (18.6–39.0) 2.5 (1.5–4.1)
Median 7.1 9.3 8.2 6.8 18.1 11.2 12.0 26.5 1.8
Range 3.0–14.0 4.3–17.7 3.8–14.4 4.0–13.0 5.4–34.7 4.5–24.2 8.4–22.6 13.3–38.4 0.8–4.3
Large urban school district surveys
Baltimore, MD 1.3 (0.6–2.9) 6.2 (3.6–10.5) 3.8 (2.4–6.1) 2.8 (1.5–5.1) 5.5 (2.3–12.9) 6.3 (1.5–23.2) 4.0 (2.1–7.6) 9.5 (3.2–24.6) 0.0
Boston, MA 2.2 (1.4–3.4) 3.9 (2.6–5.7) 3.1 (2.3–4.1) 2.8 (2.0–3.9) 3.4 (1.2–9.3) 7.9 (3.4–17.6) 3.7 (2.3–5.9) 10.2 (5.5–17.9) 0.6 (0.2–1.8)
Broward County, FL 5.3 (2.5–10.7) 5.9 (3.2–10.5) 5.7 (3.6–8.7) 5.2 (2.9–9.1) 10.7 (4.7–22.3) 3.0 (0.7–12.3) 7.1 (3.7–13.3) 19.4 (9.8–34.7) 0.3 (0.0–2.6)
Chicago, IL 6.6 (4.6–9.4) 5.0 (3.1–8.1) 6.0 (4.3–8.5) 4.5 (3.1–6.6) 11.7 (7.0–18.8) 9.5 (3.8–21.9) 6.4 (3.7–10.8) 19.9 (13.7–27.8) 1.6 (0.7–3.3)
Cleveland, OH 5.7 (4.1–7.8) 7.0 (5.1–9.7) 6.7 (5.3–8.4) 5.0 (3.8–6.5) 15.0 (10.0–22.0) 12.5 (5.7–25.3) 5.4 (3.9–7.5) 16.0 (10.5–23.5) 0.9 (0.4–2.0)
DeKalb County, GA 2.2 (1.3–3.8) 5.4 (4.1–7.1) 3.8 (2.9–5.0) 2.9 (2.1–3.9) 6.2 (3.4–10.9) 5.2 (2.2–11.5) 4.5 (3.2–6.2) 13.4 (8.3–21.0) 0.7 (0.3–1.6)
Detroit, MI 1.7 (0.9–3.1) 5.1 (3.0–8.7) 3.4 (2.3–5.2) 2.0 (1.1–3.7) 9.9 (5.4–17.6) 3.3 (0.6–17.3) 3.5 (1.8–6.7) 10.6 (6.2–17.4) 0.1 (0.0–0.6)
District of Columbia
Duval County, FL
Ft. Worth, TX 4.5 (3.4–5.9) 6.3 (4.9–8.0) 5.5 (4.5–6.7) 4.4 (3.5–5.4) 14.5 (10.6–19.6) 5.9 (2.6–12.9) 8.7 (6.9–10.9) 20.4 (14.4–28.1) 1.2 (0.8–1.9)
Houston, TX 5.5 (4.5–6.9) 6.7 (5.2–8.6) 6.2 (5.2–7.3) 5.0 (4.1–6.2) 11.5 (8.7–15.1) 13.2 (7.8–21.5) 8.9 (7.2–11.0) 23.3 (17.6–30.1) 1.2 (0.7–2.0)
Los Angeles, CA 1.7 (1.0–2.9) 3.3 (2.7–4.1) 2.7 (2.1–3.4) 2.1 (1.7–2.6) 9.7 (3.6–23.5) 3.6 (0.7–15.3) 3.6 (2.3–5.6) 10.9 (3.8–27.4) 0.9 (0.4–2.0)
Miami-Dade County, FL 3.5 (2.6–4.8) 4.8 (3.2–7.1) 4.5 (3.5–5.8) 3.3 (2.3–4.6) 8.7 (5.8–13.1) 13.4 (6.5–25.6) 5.6 (4.2–7.4) 13.2 (8.4–20.2) 0.9 (0.3–2.5)
New York City, NY 3.4 (2.7–4.3) 6.1 (4.8–7.9) 5.0 (4.1–6.1) 3.4 (2.5–4.6) 10.3 (8.1–13.2) 8.5 (7.3–9.9) 7.1 (5.1–10.0) 16.0 (12.5–20.3) 1.0 (0.6–1.7)
Oakland, CA 2.8 (1.7–4.5) 5.6 (3.8–8.2) 4.4 (3.2–5.9) 4.1 (2.9–5.8) 7.0 (4.0–11.8) 4.4 (1.4–12.8) 6.7 (4.6–9.6) 9.3 (5.2–16.1) 1.1 (0.5–2.6)
Orange County, FL 2.0 (1.1–3.6) 5.3 (3.5–8.1) 3.9 (2.6–5.7) 3.2 (2.1–4.9) 3.9 (1.6–9.1) 14.5 (7.0–27.5) 5.5 (3.7–8.3) 9.2 (4.0–19.5) 1.1 (0.5–2.8)
Palm Beach County, FL 2.9 (1.8–4.4) 4.5 (3.2–6.3) 3.8 (2.8–5.0) 2.6 (1.8–3.8) 10.2 (6.3–16.0) 9.8 (4.8–19.0) 5.6 (4.0–7.9) 14.0 (8.8–21.5) 0.2 (0.1–0.9)
Philadelphia, PA 2.9 (1.8–4.7) 4.1 (2.1–7.9) 3.5 (2.3–5.3) 2.8 (2.0–4.0) 5.1 (2.1–11.7) 15.0 (4.4–40.6) 3.4 (2.2–5.1) 14.3 (5.5–32.1) 1.0 (0.4–2.4)
San Diego, CA 4.0 (3.1–5.2) 4.4 (3.1–6.1) 4.2 (3.4–5.2) 4.1 (3.3–5.1) 6.1 (3.7–9.8) 1.8 (0.3–9.0) 6.9 (5.5–8.6) 8.1 (4.5–14.3) 0.9 (0.4–1.8)
San Francisco, CA 3.9 (2.9–5.2) 5.2 (4.0–6.7) 4.7 (3.8–5.9) 4.0 (3.2–5.1) 11.0 (6.8–17.3) 6.8 (3.7–12.3) 7.4 (5.7–9.6) 18.1 (10.9–28.4) 1.5 (1.0–2.4)
Shelby County, TN 2.4 (1.5–3.8) 4.1 (2.8–6.1) 3.4 (2.4–4.8) 2.2 (1.4–3.4) 8.8 (4.9–15.2) 11.2 (5.0–23.3) 3.7 (2.4–5.6) 8.6 (4.5–15.8) 0.9 (0.4–2.1)
Median 2.9 5.2 4.2 3.3 9.7 7.9 5.6 13.4 0.9
Range 1.3–6.6 3.3–7.0 2.7–6.7 2.0–5.2 3.4–15.0 1.8–15.0 3.4–8.9 8.1–23.3 0.0–1.6

* On at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 58. Percentage of high school students who currently frequently smoked cigarettes,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 2.6 (1.7–3.9) 2.7 (2.0–3.6) 2.6 (1.9–3.7)
Race/Ethnicity
White§ 3.7 (2.4–5.7) 3.4 (2.5–4.6) 3.6 (2.5–5.0)
Black§ 0.9 (0.3–2.5) 1.2 (0.6–2.6) 1.1 (0.5–2.3)
Hispanic 1.1 (0.6–2.1) 2.2 (1.5–3.2) 1.7 (1.2–2.4)
Grade
9 1.1 (0.5–2.4) 1.5 (0.8–2.9) 1.3 (0.7–2.4)
10 1.5 (0.7–2.9) 2.1 (1.2–3.6) 1.8 (1.1–2.8)
11 2.9 (1.7–5.0) 2.7 (1.7–4.3) 2.8 (1.8–4.4)
12 4.8 (3.0–7.6) 4.5 (3.4–6.0) 4.7 (3.5–6.3)
Sexual identity
Heterosexual (straight) 2.1 (1.4–3.2) 2.4 (1.7–3.5) 2.3 (1.6–3.2)
Gay, lesbian, or bisexual 5.3 (2.9–9.6) 5.9 (3.3–10.4) 5.4 (3.3–8.8)
Not sure 3.1 (0.6–14.6) 3.6 (1.5–8.5) 4.0 (1.5–10.4)
Sex of sexual contacts
Opposite sex only 3.7 (2.5–5.3) 4.7 (3.3–6.6) 4.2 (3.0–5.9)
Same sex only or both sexes 11.0 (6.5–18.1) 8.0 (4.4–14.3) 10.3 (6.3–16.2)
No sexual contact 0.3 (0.1–1.8) 0.1 (0.0–0.3) 0.2 (0.1–0.8)

* On 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 59. Percentage of high school students who currently frequently smoked cigarettes,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 2.0 (0.7–5.4) 3.4 (1.8–6.3) 2.8 (1.6–4.7) §
Arizona 1.0 (0.5–2.1) 2.1 (1.2–3.6) 1.7 (1.1–2.5) 1.3 (0.8–2.1) 4.0 (1.2–12.5) 2.6 (0.4–15.2)
Arkansas 4.2 (2.0–8.5) 5.1 (3.3–7.8) 4.6 (3.5–6.1) 3.9 (2.6–5.9) 7.7 (2.8–19.4) 9.3 (2.5–29.5) 6.7 (4.2–10.5) 11.8 (4.6–27.3) 0.7 (0.3–1.8)
California 0.3 (0.1–1.2) 0.5 (0.2–1.6) 0.4 (0.2–0.9) 0.5 (0.2–1.0) 0.4 (0.0–3.2) 0.0 0.7 (0.3–1.6) 1.2 (0.1–9.3) 0.2 (0.0–1.4)
Colorado 1.9 (1.0–3.8) 0.5 (0.2–1.6) 1.3 (0.8–2.1) 0.9 (0.4–1.7) 4.4 (2.0–9.6) 3.5 (0.8–13.3)
Connecticut 0.6 (0.2–1.6) 2.4 (1.4–4.1) 1.5 (1.0–2.2) 0.9 (0.5–1.6) 3.5 (1.9–6.2) 4.0 (1.2–12.4) 2.1 (1.2–3.6) 3.8 (1.5–9.3) 0.1 (0.0–0.6)
Delaware 0.6 (0.3–1.3) 2.8 (1.8–4.3) 1.7 (1.2–2.4) 1.3 (0.9–2.1) 2.3 (0.9–5.8) 6.3 (2.0–18.3) 2.2 (1.4–3.5) 5.5 (1.8–15.5) 0.3 (0.0–2.0)
Florida 1.0 (0.6–1.6) 1.7 (1.3–2.2) 1.3 (1.0–1.8) 0.9 (0.7–1.2) 2.9 (1.6–5.1) 4.8 (2.9–7.7) 1.5 (1.1–2.1) 6.1 (3.9–9.6) 0.1 (0.0–0.4)
Hawaii 1.1 (0.7–1.8) 2.0 (1.4–3.0) 1.7 (1.2–2.2) 1.2 (0.8–1.8) 1.8 (1.0–3.2) 5.6 (2.9–10.5) 2.6 (1.7–4.1) 5.1 (3.1–8.1) 0.2 (0.1–0.5)
Idaho 2.8 (1.7–4.5) 2.4 (1.5–3.9) 2.6 (1.8–3.8)
Illinois 0.9 (0.6–1.4) 2.2 (1.6–2.8) 1.5 (1.2–1.9) 1.4 (1.0–2.0) 1.7 (1.1–2.7) 0.3 (0.1–0.9) 2.5 (1.6–3.7) 4.0 (1.6–9.3) 0.0
Iowa 2.5 (1.2–5.4) 2.8 (1.7–4.8) 2.9 (2.0–4.1) 1.7 (1.0–2.8) 7.4 (3.6–14.7) 18.9 (7.3–40.7) 4.1 (2.2–7.5) 11.7 (7.0–19.0) 0.0
Kansas 1.0 (0.5–2.0) 1.5 (0.7–2.9) 1.2 (0.7–2.0)
Kentucky 5.4 (3.1–9.3) 4.2 (2.3–7.5) 4.9 (3.2–7.4) 4.5 (2.8–7.2) 7.9 (4.5–13.5) 3.2 (0.6–15.9) 8.4 (5.3–13.2) 12.9 (7.1–22.2) 0.4 (0.1–1.6)
Louisiana 3.5 (1.7–7.1) 3.9 (2.1–7.2) 3.8 (2.4–6.1)
Maine 2.3 (1.7–3.2) 3.7 (3.0–4.6) 3.1 (2.5–3.9) 2.7 (2.1–3.4) 5.1 (3.5–7.3) 5.7 (3.8–8.4) 4.5 (3.6–5.5) 9.0 (6.2–12.9) 0.3 (0.2–0.5)
Maryland 1.4 (1.2–1.7) 2.0 (1.8–2.2) 1.8 (1.7–2.0) 1.2 (1.0–1.3) 3.8 (3.2–4.4) 4.1 (3.2–5.2)
Massachusetts 0.2 (0.1–0.8) 1.8 (1.2–2.9) 1.0 (0.7–1.6) 0.8 (0.5–1.3) 1.5 (0.4–4.6) 4.0 (1.4–11.1) 1.6 (0.9–2.7) 2.0 (0.8–4.7) 0.3 (0.1–0.9)
Michigan 2.8 (1.3–5.9) 3.6 (0.8–14.4) 3.2 (1.1–9.2) 2.5 (0.6–8.9) 8.6 (2.4–26.5) 5.5 (2.0–14.5) 5.1 (1.6–15.2) 11.0 (4.5–24.3) 0.4 (0.1–3.4)
Missouri 2.4 (1.4–4.1) 2.9 (1.7–4.9) 2.7 (1.9–3.9)
Montana 2.6 (2.0–3.5) 3.4 (2.6–4.5) 3.1 (2.5–3.8)
Nebraska 2.4 (1.3–4.4) 1.6 (0.9–2.8) 2.1 (1.3–3.2) 1.6 (1.0–2.8) 7.2 (3.7–13.4) 2.1 (0.5–8.8) 2.9 (1.6–5.1) 17.0 (8.1–32.2) 0.2 (0.0–0.9)
Nevada 1.1 (0.5–2.8) 1.3 (0.6–2.6) 1.2 (0.7–2.2) 1.3 (0.7–2.3) 0.9 (0.2–4.6) 1.4 (0.2–10.7) 2.2 (1.1–4.3) 3.1 (0.9–9.6) 0.2 (0.0–1.4)
New Hampshire 1.8 (1.4–2.2) 2.4 (2.0–2.9) 2.2 (1.9–2.6) 1.6 (1.3–1.9) 4.5 (3.2–6.2) 8.3 (6.0–11.4) 2.7 (2.2–3.2) 12.0 (9.3–15.4) 0.2 (0.1–0.4)
New Mexico 1.9 (1.0–3.5) 3.0 (2.1–4.3) 2.5 (1.7–3.8) 2.0 (1.3–3.1) 5.0 (2.9–8.6) 5.4 (2.9–9.9) 4.1 (3.0–5.6) 8.6 (4.6–15.3) 0.3 (0.1–1.0)
New York 0.7 (0.2–1.8) 1.5 (1.0–2.3) 1.2 (0.8–1.8) 1.2 (0.7–2.0) 0.7 (0.3–1.5) 1.6 (0.8–3.0) 2.3 (1.3–4.0) 3.5 (1.8–6.9) 0.1 (0.0–0.5)
North Carolina 1.5 (1.1–2.2) 2.8 (1.9–4.2) 2.2 (1.6–3.0) 1.6 (1.0–2.4) 5.3 (3.2–8.7) 3.5 (1.1–10.8) 2.6 (1.9–3.6) 8.6 (4.7–15.1) 0.4 (0.2–0.9)
North Dakota 3.5 (2.1–5.6) 4.1 (2.6–6.4) 3.8 (2.7–5.4) 3.4 (2.3–5.0) 7.4 (4.2–12.6) 3.0 (0.7–12.4)
Oklahoma 3.3 (1.9–5.7) 2.8 (1.5–5.1) 3.0 (2.0–4.5) 2.7 (1.7–4.1) 6.2 (2.6–14.0) 4.4 (0.5–28.3) 4.5 (2.7–7.3) 7.8 (3.5–16.8) 0.9 (0.3–2.7)
Pennsylvania 2.5 (1.6–3.9) 2.3 (1.4–3.9) 2.5 (1.8–3.5) 2.1 (1.4–3.1) 6.1 (3.4–10.6) 2.9 (0.8–10.2) 4.4 (2.9–6.7) 4.0 (2.0–8.0) 0.5 (0.2–1.4)
Rhode Island 1.5 (0.8–2.8) 1.3 (0.6–2.8) 1.7 (1.0–2.9) 0.9 (0.4–2.1) 5.9 (3.0–11.2) 5.4 (2.3–12.3) 1.8 (0.7–4.5) 7.7 (3.2–17.4) 0.0
South Carolina 2.1 (1.0–4.1) 3.7 (2.3–6.0) 3.0 (2.1–4.2) 2.1 (1.1–3.8) 10.3 (5.4–18.8) 2.4 (0.3–17.0) 3.8 (2.1–7.0) 14.1 (7.1–26.2) 0.3 (0.1–1.4)
Tennessee 2.2 (1.3–3.7) 3.2 (2.0–5.0) 2.8 (1.9–4.1)
Texas 0.9 (0.4–2.1) 1.4 (0.7–3.0) 1.2 (0.6–2.4) 1.2 (0.6–2.3) 1.7 (0.5–5.7) 0.0 2.3 (1.1–4.6) 2.9 (0.8–10.4) 0.0
Utah 0.3 (0.1–1.1) 1.0 (0.5–2.0) 0.7 (0.3–1.5)
Vermont 2.3 (2.0–2.6) 3.8 (3.4–4.2) 3.1 (2.9–3.4) 2.6 (2.4–2.9) 6.0 (5.0–7.2) 5.7 (4.3–7.5) 4.0 (3.6–4.4) 12.7 (10.9–14.7) 0.4 (0.2–0.5)
Virginia 1.1 (0.6–2.1) 2.2 (1.4–3.3) 1.7 (1.2–2.3)
West Virginia 4.3 (3.1–6.1) 6.6 (4.7–9.1) 5.5 (4.2–7.2) 4.9 (3.7–6.6) 9.4 (4.2–19.7) 8.2 (2.6–23.1) 8.7 (6.8–11.0) 12.7 (5.8–25.5) 0.5 (0.1–2.4)
Wisconsin 2.0 (1.3–3.3) 2.6 (1.5–4.6) 2.3 (1.5–3.6) 1.8 (1.0–3.3) 6.3 (3.3–11.6) 0.9 (0.1–6.7) 2.7 (1.7–4.3) 11.0 (5.6–20.6) 0.7 (0.1–3.6)
Median 1.9 2.4 2.2 1.6 5.0 4.0 2.7 8.2 0.3
Range 0.2–5.4 0.5–6.6 0.4–5.5 0.5–4.9 0.4–10.3 0.0–18.9 0.7–8.7 1.2–17.0 0.0–0.9
Large urban school district surveys
Baltimore, MD 0.0 1.2 (0.4–3.9) 0.7 (0.2–2.0) 0.7 (0.2–2.7) 0.0 3.5 (0.4–23.3) 1.3 (0.3–5.3) 1.6 (0.2–11.2) 0.0
Boston, MA 0.1 (0.0–0.9) 0.5 (0.2–1.4) 0.4 (0.2–0.9) 0.3 (0.1–0.8) 1.2 (0.2–5.6) 0.3 (0.0–2.3) 0.6 (0.2–1.6) 1.0 (0.2–4.2) 0.0
Broward County, FL 0.0 0.3 (0.1–1.2) 0.1 (0.0–0.6) 0.0 0.6 (0.1–5.1) 1.5 (0.2–10.9) 0.0 1.6 (0.4–6.7) 0.0
Chicago, IL 0.7 (0.3–1.8) 1.3 (0.6–2.8) 1.0 (0.5–2.0) 0.8 (0.4–1.7) 1.8 (0.5–6.2) 1.2 (0.2–8.3) 0.9 (0.4–2.4) 6.0 (2.5–14.0) 0.0
Cleveland, OH 1.3 (0.6–2.9) 1.4 (0.7–2.7) 1.4 (0.8–2.4) 0.6 (0.3–1.3) 5.6 (2.5–12.2) 2.7 (0.5–13.1) 0.7 (0.3–1.9) 5.3 (2.4–11.4) 0.2 (0.0–1.4)
DeKalb County, GA 0.4 (0.1–1.9) 1.7 (1.0–2.9) 1.1 (0.6–1.8) 0.5 (0.3–0.9) 2.5 (0.9–6.8) 1.8 (0.3–11.5) 1.1 (0.7–2.0) 4.7 (2.1–10.3) 0.0
Detroit, MI 0.6 (0.2–2.5) 0.2 (0.0–1.4) 0.5 (0.2–1.5) 0.4 (0.1–1.8) 0.0 0.0 0.7 (0.1–3.8) 1.6 (0.4–6.0) 0.0
District of Columbia
Duval County, FL
Ft. Worth, TX 0.6 (0.3–1.4) 1.2 (0.7–2.0) 0.9 (0.6–1.4) 0.6 (0.4–1.1) 3.1 (1.3–7.2) 2.5 (0.8–8.1) 1.3 (0.8–2.3) 5.7 (2.5–12.3) 0.1 (0.0–0.5)
Houston, TX 0.7 (0.4–1.2) 1.6 (1.1–2.5) 1.1 (0.8–1.6) 0.8 (0.5–1.4) 1.7 (0.8–4.0) 3.4 (1.4–8.3) 1.0 (0.5–2.0) 5.2 (2.8–9.6) 0.2 (0.1–0.6)
Los Angeles, CA 0.3 (0.0–2.6) 1.3 (0.7–2.2) 0.9 (0.4–1.6) 0.6 (0.4–1.1) 3.2 (0.5–17.0) 1.8 (0.2–14.6) 1.2 (0.6–2.5) 4.6 (0.9–20.8) 0.2 (0.0–1.4)
Miami-Dade County, FL 0.4 (0.1–0.8) 1.3 (0.6–2.6) 0.8 (0.4–1.5) 0.6 (0.3–1.2) 0.4 (0.1–1.4) 3.5 (0.6–17.0) 0.9 (0.4–1.8) 4.9 (1.9–12.5) 0.0
New York City, NY 0.2 (0.1–0.4) 1.3 (1.0–1.8) 0.8 (0.6–1.1) 0.5 (0.3–0.7) 2.0 (1.1–3.6) 1.8 (1.1–2.7) 1.0 (0.6–1.6) 4.2 (2.8–6.3) 0.1 (0.0–0.5)
Oakland, CA 0.5 (0.2–1.4) 0.6 (0.3–1.1) 0.6 (0.3–1.0) 0.5 (0.2–0.9) 1.8 (0.6–5.3) 0.0 0.6 (0.2–1.7) 2.3 (0.8–6.4) 0.0
Orange County, FL 0.5 (0.2–1.6) 1.3 (0.7–2.7) 1.0 (0.5–1.7) 0.7 (0.4–1.5) 2.0 (0.5–8.0) 0.0 1.2 (0.5–2.7) 3.7 (1.1–11.3) 0.0
Palm Beach County, FL 0.5 (0.2–1.3) 1.1 (0.6–2.0) 0.8 (0.5–1.4) 0.2 (0.1–0.6) 3.5 (1.6–7.6) 5.0 (1.9–12.1) 0.8 (0.4–1.7) 5.4 (2.4–11.7) 0.0
Philadelphia, PA 0.6 (0.2–1.8) 0.5 (0.2–1.2) 0.5 (0.2–1.1) 0.3 (0.1–0.8) 1.5 (0.3–7.4) 1.5 (0.3–6.1) 0.6 (0.2–1.7) 2.2 (0.5–9.1) 0.0
San Diego, CA 0.4 (0.2–1.1) 1.2 (0.5–2.5) 0.8 (0.5–1.5) 0.8 (0.4–1.5) 1.6 (0.5–4.7) 0.0 1.1 (0.6–2.1) 2.6 (0.7–8.8) 0.3 (0.1–1.5)
San Francisco, CA 0.8 (0.4–1.7) 1.2 (0.7–2.1) 1.1 (0.7–1.7) 0.9 (0.5–1.5) 2.8 (1.3–5.8) 2.7 (0.9–7.6) 1.0 (0.5–2.1) 8.5 (4.3–16.1) 0.0
Shelby County, TN 0.3 (0.1–0.9) 0.4 (0.1–1.4) 0.4 (0.2–0.8) 0.3 (0.1–0.7) 0.5 (0.1–3.7) 0.6 (0.1–4.4) 0.4 (0.1–1.3) 1.4 (0.4–4.8) 0.0
Median 0.5 1.2 0.8 0.6 1.8 1.8 0.9 4.2 0.0
Range 0.0–1.3 0.2–1.7 0.1–1.4 0.0–0.9 0.0–5.6 0.0–5.0 0.0–1.3 1.0–8.5 0.0–0.3

* On 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 60. Percentage of high school students who currently smoked cigarettes daily,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 2.0 (1.3–3.1) 2.0 (1.5–2.7) 2.0 (1.4–2.9)
Race/Ethnicity
White§ 2.9 (1.8–4.8) 2.3 (1.7–3.1) 2.6 (1.8–3.8)
Black§ 0.9 (0.3–2.5) 1.2 (0.5–2.6) 1.1 (0.5–2.3)
Hispanic 0.8 (0.4–1.7) 1.8 (1.1–2.9) 1.3 (0.9–2.0)
Grade
9 0.9 (0.4–2.0) 1.0 (0.5–1.8) 0.9 (0.6–1.6)
10 1.1 (0.5–2.2) 1.8 (1.0–3.2) 1.4 (0.9–2.3)
11 2.4 (1.2–4.6) 2.1 (1.3–3.3) 2.2 (1.4–3.7)
12 3.7 (2.3–6.1) 3.1 (2.1–4.6) 3.5 (2.4–5.1)
Sexual identity
Heterosexual (straight) 1.7 (1.1–2.6) 1.8 (1.2–2.6) 1.7 (1.2–2.5)
Gay, lesbian, or bisexual 4.1 (2.1–7.9) 3.7 (1.8–7.4) 3.9 (2.2–6.9)
Not sure 2.1 (0.5–8.8) 3.4 (1.4–8.4) 3.4 (1.4–7.7)
Sex of sexual contacts
Opposite sex only 2.8 (1.9–4.2) 3.4 (2.4–5.0) 3.2 (2.2–4.5)
Same sex only or both sexes 9.0 (5.0–15.9) 6.3 (2.9–12.9) 8.3 (4.9–14.0)
No sexual contact 0.3 (0.1–1.2) 0.1 (0.0–0.3) 0.2 (0.1–0.6)

* On all 30 days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 61. Percentage of high school students who currently smoked cigarettes daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 1.3 (0.5–3.4) 2.8 (1.3–5.7) 2.1 (1.2–3.8) §
Arizona 0.8 (0.3–1.8) 1.3 (0.7–2.3) 1.1 (0.7–1.8) 1.0 (0.6–1.7) 1.1 (0.3–4.8) 2.6 (0.4–15.2)
Arkansas 2.7 (1.2–5.7) 4.8 (3.0–7.4) 3.7 (2.7–5.0) 3.0 (1.9–4.8) 6.1 (2.0–17.3) 9.3 (2.5–29.5) 6.1 (3.7–10.0) 6.3 (1.5–22.5) 0.7 (0.3–1.8)
California 0.2 (0.0–1.1) 0.4 (0.1–1.4) 0.3 (0.1–0.8) 0.3 (0.1–0.9) 0.4 (0.0–3.2) 0.0 0.4 (0.1–1.3) 1.2 (0.1–9.3) 0.2 (0.0–1.4)
Colorado 1.7 (0.8–3.6) 0.4 (0.1–1.6) 1.1 (0.7–1.8) 0.7 (0.3–1.5) 3.9 (1.6–8.8) 3.5 (0.8–13.3)
Connecticut 0.3 (0.1–0.9) 1.2 (0.6–2.4) 0.7 (0.5–1.2) 0.4 (0.1–1.1) 0.9 (0.2–4.3) 1.8 (1.1–2.8) 1.0 (0.5–2.3) 0.0 0.0
Delaware 0.5 (0.2–1.1) 2.7 (1.7–4.2) 1.6 (1.1–2.3) 1.2 (0.8–2.0) 2.0 (0.7–5.5) 6.3 (2.0–18.3) 1.9 (1.2–3.2) 5.5 (1.8–15.5) 0.3 (0.0–2.0)
Florida 0.7 (0.4–1.2) 1.5 (1.1–1.9) 1.1 (0.8–1.4) 0.8 (0.6–1.1) 1.2 (0.6–2.6) 4.8 (2.9–7.7) 1.3 (0.9–1.9) 4.6 (3.0–7.1) 0.1 (0.0–0.3)
Hawaii 0.7 (0.4–1.1) 1.6 (1.0–2.5) 1.2 (0.9–1.6) 0.9 (0.6–1.4) 0.7 (0.3–1.6) 4.5 (2.1–9.3) 1.8 (1.0–3.0) 3.5 (1.9–6.6) 0.1 (0.0–0.5)
Idaho 1.6 (0.9–3.1) 1.2 (0.6–2.6) 1.4 (0.9–2.4)
Illinois 0.6 (0.4–1.1) 2.1 (1.6–2.8) 1.4 (1.1–1.7) 1.3 (0.9–1.9) 1.7 (1.1–2.7) 0.1 (0.0–0.4) 2.2 (1.4–3.4) 3.7 (1.5–9.2) 0.0
Iowa 1.2 (0.3–4.6) 1.8 (1.0–3.4) 1.7 (0.9–3.4) 0.9 (0.4–1.7) 3.7 (1.1–11.7) 14.3 (3.0–47.0) 2.4 (1.0–5.5) 6.1 (1.8–19.2) 0.0
Kansas 0.9 (0.4–1.7) 1.3 (0.6–2.7) 1.1 (0.6–1.8)
Kentucky 3.9 (1.9–7.7) 3.3 (1.6–6.9) 3.7 (2.2–6.3) 3.6 (2.1–6.2) 5.2 (2.7–9.9) 0.5 (0.1–2.1) 6.6 (3.7–11.3) 8.7 (4.3–16.6) 0.1 (0.0–1.1)
Louisiana 1.8 (0.8–4.0) 2.8 (1.3–5.9) 2.4 (1.3–4.4)
Maine 1.6 (1.1–2.4) 2.8 (2.2–3.6) 2.3 (1.8–2.9) 1.9 (1.5–2.6) 3.6 (2.3–5.6) 5.7 (3.8–8.4) 3.2 (2.5–4.0) 7.4 (4.8–11.4) 0.2 (0.1–0.4)
Maryland 1.0 (0.9–1.2) 1.5 (1.3–1.6) 1.3 (1.2–1.5) 0.8 (0.7–0.9) 2.6 (2.1–3.2) 3.5 (2.7–4.6)
Massachusetts 0.1 (0.0–0.4) 1.5 (0.9–2.3) 0.8 (0.5–1.2) 0.5 (0.3–1.0) 1.3 (0.4–4.2) 3.2 (0.9–10.2) 1.1 (0.6–2.0) 1.5 (0.6–3.9) 0.3 (0.1–0.8)
Michigan 2.2 (0.9–5.3) 2.8 (0.7–11.1) 2.5 (0.8–7.7) 2.0 (0.5–7.9) 5.2 (1.1–21.5) 4.2 (1.2–13.3) 4.2 (1.2–14.1) 8.6 (3.1–21.8) 0.0
Missouri 1.8 (0.9–3.4) 2.2 (1.1–4.3) 2.0 (1.3–3.2)
Montana 1.9 (1.4–2.7) 2.2 (1.7–3.0) 2.1 (1.7–2.6)
Nebraska 1.3 (0.7–2.4) 0.9 (0.4–1.8) 1.2 (0.7–1.9) 0.8 (0.4–1.5) 6.0 (3.0–11.7) 0.7 (0.1–5.3) 1.5 (0.8–3.0) 9.7 (4.6–19.5) 0.1 (0.0–0.6)
Nevada 0.8 (0.3–2.0) 1.1 (0.5–2.2) 0.9 (0.5–1.8) 1.0 (0.5–1.8) 0.9 (0.2–4.6) 1.4 (0.2–10.7) 1.7 (0.8–3.5) 1.9 (0.5–6.9) 0.2 (0.0–1.4)
New Hampshire 1.4 (1.0–1.8) 1.9 (1.5–2.4) 1.7 (1.5–2.1) 1.2 (1.0–1.5) 3.6 (2.5–5.3) 7.0 (4.9–9.9) 2.0 (1.6–2.6) 9.7 (7.3–12.7) 0.2 (0.1–0.3)
New Mexico 1.2 (0.5–2.5) 2.0 (1.3–3.0) 1.6 (1.0–2.7) 1.3 (0.8–2.1) 3.3 (1.8–6.0) 4.1 (2.0–8.3) 2.6 (1.7–3.9) 6.2 (3.2–11.6) 0.2 (0.0–0.6)
New York 0.2 (0.1–0.5) 1.2 (0.8–1.8) 0.7 (0.5–1.0) 0.7 (0.5–1.2) 0.6 (0.3–1.5) 0.8 (0.5–1.3) 1.5 (0.9–2.4) 2.6 (1.2–5.4) 0.1 (0.0–0.5)
North Carolina 1.1 (0.6–1.8) 2.2 (1.3–3.7) 1.6 (1.0–2.6) 1.1 (0.6–1.8) 4.2 (2.1–8.3) 3.5 (1.1–10.8) 1.9 (1.1–3.3) 7.1 (3.4–14.1) 0.2 (0.0–0.8)
North Dakota 3.3 (2.0–5.5) 2.6 (1.6–4.3) 3.0 (2.0–4.3) 2.6 (1.7–3.9) 6.2 (3.4–10.9) 3.0 (0.7–12.4)
Oklahoma 2.6 (1.5–4.5) 2.0 (1.1–3.6) 2.3 (1.5–3.4) 2.1 (1.3–3.3) 3.5 (1.4–8.4) 4.4 (0.5–28.3) 3.3 (1.9–5.6) 7.7 (3.3–16.6) 0.6 (0.1–2.4)
Pennsylvania 1.6 (1.0–2.7) 1.6 (0.9–2.8) 1.7 (1.1–2.5) 1.6 (1.0–2.5) 3.0 (1.5–5.9) 1.5 (0.3–8.0) 3.3 (2.0–5.4) 2.5 (1.2–5.3) 0.0
Rhode Island 1.2 (0.5–2.6) 0.9 (0.4–2.0) 1.2 (0.6–2.2) 0.5 (0.2–1.4) 5.0 (1.9–12.6) 5.4 (2.3–12.3) 1.1 (0.3–3.3) 6.3 (2.1–17.3) 0.0
South Carolina 1.4 (0.6–3.0) 3.0 (1.8–4.9) 2.2 (1.6–3.1) 1.5 (0.8–2.7) 7.7 (3.9–14.6) 2.4 (0.3–17.0) 2.6 (1.3–5.0) 10.5 (5.3–19.5) 0.3 (0.1–1.4)
Tennessee 1.6 (0.7–3.3) 2.2 (1.3–3.8) 2.0 (1.3–3.1)
Texas 0.7 (0.3–2.0) 1.2 (0.5–2.9) 0.9 (0.5–1.9) 1.0 (0.5–2.1) 0.2 (0.0–1.9) 0.0 2.0 (0.9–4.2) 1.6 (0.3–8.0) 0.0
Utah 0.2 (0.1–1.1) 0.9 (0.4–1.9) 0.6 (0.3–1.2)
Vermont 1.6 (1.4–1.9) 2.9 (2.5–3.2) 2.3 (2.1–2.5) 1.9 (1.7–2.1) 4.5 (3.6–5.5) 5.0 (3.7–6.6) 2.8 (2.5–3.1) 10.4 (8.8–12.3) 0.2 (0.1–0.4)
Virginia 0.8 (0.3–1.8) 1.6 (0.9–2.6) 1.2 (0.8–1.9)
West Virginia 3.3 (2.2–4.9) 5.6 (3.8–8.2) 4.5 (3.3–6.2) 4.0 (2.7–5.8) 8.8 (3.9–18.5) 5.9 (1.5–21.1) 7.0 (5.1–9.6) 11.0 (4.8–23.3) 0.4 (0.1–1.9)
Wisconsin 1.3 (0.7–2.5) 1.7 (1.0–3.1) 1.5 (0.9–2.6) 1.2 (0.6–2.3) 4.0 (1.7–8.9) 0.0 1.9 (1.1–3.2) 7.1 (3.1–15.5) 0.4 (0.0–3.0)
Median 1.3 1.8 1.6 1.1 3.5 3.5 2.0 6.2 0.2
Range 0.1–3.9 0.4–5.6 0.3–4.5 0.3–4.0 0.2–8.8 0.0–14.3 0.4–7.0 0.0–11.0 0.0–0.7
Large urban school district surveys
Baltimore, MD 0.0 0.4 (0.0–2.6) 0.2 (0.0–1.3) 0.0 0.0 3.5 (0.4–23.3) 0.0 1.6 (0.2–11.2) 0.0
Boston, MA 0.1 (0.0–0.9) 0.2 (0.1–0.9) 0.2 (0.1–0.5) 0.1 (0.0–0.5) 0.3 (0.0–2.0) 0.3 (0.0–2.3) 0.2 (0.1–0.9) 1.0 (0.2–4.2) 0.0
Broward County, FL 0.0 0.1 (0.0–1.1) 0.1 (0.0–0.5) 0.0 0.6 (0.1–5.1) 0.0 0.0 0.7 (0.1–5.8) 0.0
Chicago, IL 0.3 (0.1–1.6) 0.9 (0.3–2.3) 0.6 (0.3–1.5) 0.5 (0.2–1.4) 1.6 (0.4–6.1) 0.0 0.6 (0.2–2.0) 4.7 (1.6–13.0) 0.0
Cleveland, OH 0.3 (0.1–0.9) 1.1 (0.5–2.4) 0.7 (0.4–1.4) 0.5 (0.2–1.1) 2.4 (0.8–6.9) 0.0 0.6 (0.2–1.8) 1.9 (0.7–5.1) 0.2 (0.0–1.4)
DeKalb County, GA 0.3 (0.0–2.1) 1.2 (0.7–2.1) 0.7 (0.4–1.3) 0.5 (0.2–0.9) 1.9 (0.6–5.8) 1.8 (0.3–11.5) 0.9 (0.5–1.8) 3.3 (1.2–8.9) 0.0
Detroit, MI 0.6 (0.2–2.5) 0.2 (0.0–1.4) 0.4 (0.1–1.4) 0.4 (0.1–1.8) 0.0 0.0 0.7 (0.1–3.8) 1.6 (0.4–6.0) 0.0
District of Columbia
Duval County, FL
Ft. Worth, TX 0.5 (0.2–1.3) 0.8 (0.4–1.5) 0.7 (0.4–1.2) 0.4 (0.2–0.8) 2.5 (0.9–6.8) 2.5 (0.8–8.1) 0.7 (0.3–1.5) 5.6 (2.4–12.3) 0.1 (0.0–0.6)
Houston, TX 0.5 (0.2–1.0) 1.0 (0.6–1.8) 0.8 (0.5–1.2) 0.4 (0.2–0.8) 1.2 (0.4–3.5) 3.2 (1.2–8.3) 0.5 (0.2–1.2) 4.0 (2.0–8.1) 0.2 (0.1–0.6)
Los Angeles, CA 0.3 (0.0–2.6) 1.1 (0.4–2.5) 0.8 (0.3–1.8) 0.5 (0.2–1.4) 3.2 (0.5–17.0) 1.8 (0.2–14.6) 1.0 (0.3–3.3) 4.6 (0.9–20.8) 0.2 (0.0–1.4)
Miami-Dade County, FL 0.2 (0.1–0.7) 0.8 (0.3–2.1) 0.5 (0.2–1.1) 0.3 (0.2–0.6) 0.1 (0.0–0.8) 3.0 (0.4–18.3) 0.4 (0.2–1.0) 3.9 (1.2–11.8) 0.0
New York City, NY 0.1 (0.1–0.3) 1.1 (0.8–1.5) 0.6 (0.5–0.8) 0.4 (0.3–0.5) 1.8 (0.9–3.3) 1.3 (0.8–2.2) 0.9 (0.6–1.5) 3.4 (2.1–5.5) 0.0
Oakland, CA 0.4 (0.1–1.3) 0.4 (0.2–0.9) 0.4 (0.2–0.8) 0.4 (0.2–0.8) 0.9 (0.2–4.0) 0.0 0.5 (0.1–1.6) 2.0 (0.6–6.3) 0.0
Orange County, FL 0.5 (0.2–1.6) 0.7 (0.2–1.9) 0.7 (0.3–1.4) 0.5 (0.2–1.2) 0.9 (0.1–6.1) 0.0 0.6 (0.2–1.9) 2.3 (0.5–9.0) 0.0
Palm Beach County, FL 0.5 (0.2–1.2) 1.1 (0.6–2.0) 0.8 (0.5–1.4) 0.2 (0.1–0.6) 3.5 (1.6–7.6) 5.0 (1.9–12.1) 0.7 (0.3–1.6) 5.4 (2.4–11.7) 0.0
Philadelphia, PA 0.6 (0.2–1.8) 0.3 (0.1–1.1) 0.5 (0.2–1.1) 0.3 (0.1–0.8) 1.1 (0.1–8.1) 1.5 (0.3–6.1) 0.6 (0.2–1.6) 1.6 (0.3–9.4) 0.0
San Diego, CA 0.3 (0.1–1.1) 1.0 (0.4–2.4) 0.7 (0.3–1.3) 0.7 (0.3–1.4) 1.2 (0.3–4.5) 0.0 0.9 (0.5–1.9) 1.5 (0.2–10.3) 0.3 (0.1–1.5)
San Francisco, CA 0.7 (0.3–1.6) 1.0 (0.5–1.8) 0.8 (0.5–1.4) 0.7 (0.4–1.3) 2.3 (0.9–5.5) 1.0 (0.1–7.0) 0.4 (0.2–1.1) 7.6 (3.7–15.2) 0.0
Shelby County, TN 0.0 0.4 (0.1–1.4) 0.2 (0.1–0.7) 0.2 (0.0–0.6) 0.0 0.6 (0.1–4.4) 0.3 (0.1–1.2) 0.4 (0.0–2.5) 0.0
Median 0.3 0.8 0.6 0.4 1.2 1.0 0.6 2.3 0.0
Range 0.0–0.7 0.1–1.2 0.1–0.8 0.0–0.7 0.0–3.5 0.0–5.0 0.0–1.0 0.4–7.6 0.0–0.3

* On all 30 days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 62. Percentage of high school students who smoked more than 10 cigarettes/day,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 6.5 (4.6–9.0) 11.7 (9.4–14.6) 9.7 (7.8–12.0)
Race/Ethnicity
White§ 5.6 (2.9–10.4) 10.4 (6.9–15.4) 8.3 (5.6–12.1)
Black§
Hispanic 9.4 (4.2–19.9) 8.4 (4.7–14.6)
Grade
9 7.9 (5.0–12.3)
10 13.8 (7.3–24.6) 10.6 (6.4–17.0)
11 3.4 (0.9–12.7) 6.7 (2.8–15.5) 5.1 (2.5–10.1)
12 8.8 (4.2–17.3) 13.4 (9.1–19.4) 11.6 (8.1–16.2)
Sexual identity
Heterosexual (straight) 6.5 (3.8–10.7) 9.1 (6.6–12.4) 8.1 (6.1–10.6)
Gay, lesbian, or bisexual 2.9 (1.1–7.3) 12.6 (3.7–35.4) 5.7 (2.3–13.2)
Not sure 39.6 (19.0–64.6)
Sex of sexual contacts
Opposite sex only 5.2 (2.3–11.4) 10.5 (7.7–14.1) 8.5 (6.0–11.7)
Same sex only or both sexes 9.4 (4.3–19.3) 32.3 (14.6–57.1) 14.8 (8.1–25.5)
No sexual contact 2.0 (0.2–15.1) 1.2 (0.2–8.7) 1.5 (0.3–6.5)

* On the days they smoked during the 30 days before the survey, among the 8.8% of students nationwide who currently smoked cigarettes.
95% confidence interval.
§ Non-Hispanic.
Not available.

TABLE 63. Percentage of high school students who smoked more than 10 cigarettes/day,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska § 5.4 (2.1–13.1)
Arizona 7.1 (3.0–16.0) 7.9 (2.8–20.4) 2.9 (0.4–20.3)
Arkansas 11.6 (6.6–19.6) 11.0 (4.9–22.6) 15.8 (7.2–31.3)
California 1.4 (0.2–11.6) 1.7 (0.2–13.8)
Colorado
Connecticut
Delaware 6.9 (2.4–18.1) 5.5 (1.4–18.9) 4.0 (1.0–14.7) 21.4 (4.2–62.6)
Florida
Hawaii
Idaho 6.2 (2.8–13.2)
Illinois 3.9 (2.1–7.0) 14.1 (6.4–28.1) 10.4 (5.8–17.8) 12.0 (5.9–22.8) 6.5 (1.1–31.0) 10.7 (5.4–19.9) 6.4 (1.2–27.3) 0.0
Iowa 6.0 (2.4–14.2) 5.5 (1.5–18.6) 5.3 (1.4–17.5)
Kansas 3.4 (1.2–9.2)
Kentucky 5.8 (2.4–13.1) 7.3 (3.5–14.7) 7.2 (4.1–12.2) 7.4 (4.0–13.4) 7.3 (2.5–19.6) 7.1 (3.1–15.4) 4.7 (1.1–17.2) 0.0
Louisiana 10.5 (3.6–26.7)
Maine 5.6 (3.3–9.3) 15.2 (12.2–18.9) 11.7 (9.6–14.2) 9.8 (7.6–12.6) 8.0 (4.5–14.0) 47.4 (37.4–57.7) 10.3 (7.8–13.4) 15.2 (9.7–23.2) 4.4 (1.3–14.3)
Maryland
Massachusetts
Michigan 9.7 (5.6–16.4) 6.6 (3.0–14.2) 7.0 (3.2–14.5)
Missouri
Montana 3.8 (1.7–8.0) 5.2 (3.1–8.5) 4.6 (2.8–7.5)
Nebraska 2.3 (0.7–7.1) 2.0 (0.5–8.5) 2.6 (0.6–10.3)
Nevada 2.3 (0.7–7.3) 3.0 (0.9–9.1) 3.7 (1.2–11.2)
New Hampshire 7.8 (5.0–11.8) 13.1 (10.1–16.8) 11.8 (9.5–14.6) 7.0 (5.1–9.6) 15.7 (9.9–23.9) 42.8 (28.9–57.9) 6.6 (4.7–9.2) 26.7 (19.6–35.3) 4.2 (1.5–11.4)
New Mexico 4.6 (2.1–10.2) 9.0 (5.5–14.3) 7.8 (5.0–12.0) 5.9 (3.0–11.4) 11.1 (5.7–20.6) 15.8 (7.8–29.5) 6.1 (3.1–11.8) 14.8 (7.7–26.7) 0.0
New York 2.4 (1.2–4.8) 17.7 (10.7–27.7) 10.7 (7.0–16.0) 11.2 (5.8–20.5) 5.4 (2.3–12.2) 15.4 (6.8–31.2) 10.4 (4.5–21.9) 16.4 (8.1–30.4) 0.4 (0.1–3.2)
North Carolina
North Dakota
Oklahoma 4.1 (0.7–19.6) 3.8 (1.3–10.5) 4.2 (1.3–13.1) 2.6 (0.3–18.2) 4.5 (1.4–13.5) 2.9 (0.4–19.7)
Pennsylvania 1.5 (0.3–7.3) 8.3 (3.7–17.5) 5.9 (2.9–11.7) 5.8 (3.0–11.1) 6.6 (1.8–21.2) 6.4 (2.5–15.2) 4.9 (1.2–18.1) 0.5 (0.1–3.5)
Rhode Island 18.1 (12.2–25.9) 12.3 (7.1–20.6) 12.5 (4.9–28.4)
South Carolina 12.5 (7.4–20.2) 8.5 (3.7–18.3) 9.4 (2.7–28.2) 8.7 (3.7–19.0) 11.3 (3.3–32.3)
Tennessee 9.6 (5.8–15.4)
Texas 8.2 (3.8–16.6) 7.7 (3.3–17.2) 7.1 (2.3–19.9)
Utah
Vermont 6.4 (4.8–8.4) 14.7 (12.6–17.1) 11.9 (10.4–13.5) 9.9 (8.4–11.7) 11.2 (8.2–15.1) 36.5 (27.5–46.5) 8.8 (7.3–10.5) 18.2 (14.5–22.6) 5.4 (2.4–11.6)
Virginia 8.0 (3.4–17.6) 7.0 (3.7–12.6)
West Virginia 10.8 (5.6–19.8) 9.5 (5.5–16.0) 9.9 (5.2–18.0) 7.9 (2.4–23.1) 9.7 (4.5–19.7) 10.1 (3.4–26.2)
Wisconsin 9.7 (6.4–14.6) 8.4 (4.7–14.7) 7.6 (4.1–13.8) 9.3 (2.3–31.0)
Median 4.6 9.9 8.0 7.6 7.6 36.5 7.1 11.3 0.5
Range 1.5–7.8 4.1–17.7 2.3–18.1 1.4–12.3 2.6–15.7 15.4–47.4 1.7–15.8 2.9–26.7 0.0–5.4
Large urban school district surveys
Baltimore, MD
Boston, MA 1.2 (0.3–4.8)
Broward County, FL
Chicago, IL 5.9 (2.3–13.9) 6.1 (1.5–21.9) 7.0 (2.0–21.6)
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX 3.6 (1.7–7.7) 3.3 (1.1–9.4) 3.9 (0.9–15.2) 3.8 (1.2–10.8) 4.2 (1.0–15.3)
Houston, TX 7.9 (4.2–14.4) 8.0 (3.9–15.5) 0.0 3.7 (1.1–11.6) 11.1 (4.8–23.3)
Los Angeles, CA
Miami-Dade County, FL 9.3 (4.8–17.2) 6.7 (2.8–15.6) 6.1 (2.4–14.5)
New York City, NY 5.5 (2.2–13.1) 16.1 (11.0–22.9) 12.9 (8.9–18.5) 7.5 (4.2–13.0) 18.2 (9.7–31.7) 19.4 (11.5–30.7) 9.7 (6.6–14.1) 19.1 (11.1–30.7) 1.4 (0.2–7.6)
Oakland, CA 8.6 (3.7–18.8) 5.7 (1.5–19.5)
Orange County, FL
Palm Beach County, FL 4.8 (1.4–15.6) 4.8 (1.4–15.5)
Philadelphia, PA 1.9 (0.4–9.2)
San Diego, CA 7.0 (2.6–17.8) 7.1 (2.1–21.3) 0.0
San Francisco, CA 9.7 (5.0–18.1) 9.5 (4.1–20.4) 1.4 (0.3–6.2)
Shelby County, TN
Median 7.9 6.7 4.8
Range 3.6–12.9 1.2–9.5 0.0–9.7

* On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes.
95% confidence interval.
§ Not available.

TABLE 64. Percentage of high school students who ever used an electronic vapor product,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 39.7 (35.8–43.9) 44.9 (42.4–47.4) 42.2 (39.3–45.2)
Race/Ethnicity
White§ 39.1 (32.8–45.7) 44.9 (41.7–48.3) 41.8 (37.5–46.3)
Black§ 35.5 (29.9–41.5) 36.7 (33.1–40.5) 36.2 (33.2–39.3)
Hispanic 46.8 (42.5–51.1) 50.5 (46.2–54.8) 48.7 (44.6–52.8)
Grade
9 30.8 (26.7–35.2) 34.6 (31.2–38.1) 32.7 (29.8–35.7)
10 38.7 (33.5–44.1) 43.6 (40.4–46.8) 41.0 (37.4–44.7)
11 45.6 (40.3–51.1) 50.5 (46.5–54.5) 48.0 (44.3–51.8)
12 45.0 (40.4–49.7) 52.4 (47.2–57.5) 48.6 (44.7–52.4)
Sexual identity
Heterosexual (straight) 39.6 (36.9–42.3) 45.6 (43.0–48.2) 42.8 (40.5–45.1)
Gay, lesbian, or bisexual 53.2 (48.4–57.9) 42.2 (34.7–50.1) 50.5 (46.1–54.8)
Not sure 36.5 (29.8–43.7) 36.7 (29.8–44.1) 37.3 (32.6–42.1)
Sex of sexual contacts
Opposite sex only 57.6 (53.4–61.6) 64.8 (61.1–68.4) 61.5 (58.5–64.5)
Same sex only or both sexes 69.7 (64.5–74.5) 57.8 (50.2–65.0) 66.8 (62.2–71.2)
No sexual contact 22.4 (20.4–24.5) 23.4 (21.4–25.4) 22.9 (21.4–24.4)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens.
95% confidence interval.
§ Non-Hispanic.

TABLE 65. Percentage of high school students who ever used an electronic vapor product,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 37.7 (32.3–43.4) 42.1 (36.3–48.0) 39.9 (35.6–44.5) §
Arizona 49.4 (42.0–56.9) 52.5 (48.0–57.0) 51.0 (45.9–56.0) 49.6 (44.2–55.0) 64.4 (55.0–72.9) 41.6 (25.2–60.0)
Arkansas 45.2 (34.4–56.5) 50.3 (41.9–58.7) 47.7 (39.5–56.1) 45.8 (37.5–54.4) 66.1 (53.0–77.2) 33.3 (18.3–52.6) 56.4 (46.6–65.7) 80.2 (64.8–89.9) 23.2 (19.5–27.4)
California 41.0 (36.5–45.7) 46.7 (40.9–52.5) 43.9 (39.8–48.0) 44.1 (39.8–48.4) 53.2 (42.4–63.7) 20.4 (9.7–37.8) 63.4 (59.1–67.6) 65.8 (54.6–75.6) 25.1 (21.4–29.3)
Colorado
Connecticut
Delaware 35.9 (32.7–39.2) 39.7 (36.4–43.1) 37.9 (35.5–40.3) 36.8 (34.1–39.6) 44.9 (37.4–52.6) 31.7 (21.5–44.0) 51.7 (48.9–54.5) 62.3 (53.2–70.5) 17.7 (14.7–21.2)
Florida
Hawaii
Idaho 41.3 (37.3–45.3) 41.6 (37.4–45.9) 41.3 (37.9–44.8)
Illinois 41.2 (36.2–46.4) 41.3 (35.4–47.5) 41.4 (36.6–46.3) 40.1 (34.9–45.6) 55.2 (45.8–64.3) 29.2 (21.9–37.7) 56.5 (50.8–62.0) 72.2 (61.9–80.6) 23.9 (19.8–28.5)
Iowa 33.4 (25.9–41.7) 38.6 (31.8–45.9) 36.3 (29.8–43.2) 35.0 (27.5–43.2) 49.9 (37.6–62.3) 33.8 (18.5–53.4) 48.7 (39.3–58.1) 62.3 (50.7–72.7) 16.7 (12.0–22.7)
Kansas 32.1 (27.6–36.8) 37.3 (31.3–43.6) 34.8 (30.4–39.5)
Kentucky 41.7 (37.6–45.9) 46.9 (41.5–52.3) 44.5 (40.6–48.4) 43.5 (39.9–47.2) 59.4 (50.9–67.3) 28.7 (17.0–44.3) 62.8 (57.7–67.5) 66.7 (55.8–76.0) 23.5 (19.9–27.5)
Louisiana 41.7 (37.4–46.2) 48.7 (43.2–54.2) 45.1 (40.8–49.3)
Maine 32.8 (30.9–34.8) 36.5 (34.5–38.6) 34.8 (33.2–36.4) 34.5 (32.6–36.4) 40.0 (37.1–42.9) 28.9 (25.0–33.0) 50.7 (48.2–53.2) 55.7 (52.1–59.2) 13.9 (12.7–15.1)
Maryland 34.9 (33.8–36.0) 35.5 (34.4–36.6) 35.3 (34.4–36.2) 33.7 (32.8–34.7) 45.9 (43.9–47.9) 30.4 (27.9–33.0)
Massachusetts 40.1 (35.5–44.9) 42.2 (37.3–47.2) 41.1 (37.1–45.2) 41.1 (37.0–45.4) 48.2 (40.6–55.9) 31.2 (20.4–44.5) 59.7 (54.1–65.0) 66.5 (58.2–73.8) 21.3 (18.7–24.1)
Michigan 43.5 (36.5–50.7) 45.5 (39.0–52.1) 44.5 (38.3–50.8) 43.7 (37.3–50.4) 58.5 (49.6–66.9) 32.1 (21.4–45.0) 63.1 (54.7–70.7) 73.1 (60.8–82.7) 22.0 (17.3–27.6)
Missouri 39.5 (32.7–46.8) 40.4 (34.9–46.2) 39.9 (34.2–45.9)
Montana 45.8 (42.8–48.8) 47.3 (44.7–50.0) 46.6 (44.4–48.8)
Nebraska 34.2 (29.7–39.0) 37.8 (33.1–42.8) 36.1 (32.6–39.7) 36.1 (32.4–40.0) 44.6 (33.5–56.3) 27.3 (15.7–43.2) 54.7 (49.3–60.0) 68.8 (54.7–80.1) 21.4 (18.1–25.2)
Nevada 41.4 (36.6–46.2) 42.8 (37.2–48.6) 42.1 (37.8–46.6) 41.7 (37.3–46.2) 49.1 (41.4–56.9) 28.9 (17.4–43.9) 62.4 (58.2–66.5) 61.5 (48.1–73.4) 23.1 (18.8–28.0)
New Hampshire 37.8 (36.0–39.7) 43.9 (41.8–46.0) 41.1 (39.5–42.7) 41.2 (39.5–42.9) 45.1 (41.3–48.9) 30.6 (25.9–35.8) 58.6 (56.8–60.4) 65.1 (60.3–69.6) 19.2 (17.5–21.0)
New Mexico 49.3 (45.3–53.4) 52.6 (48.0–57.1) 51.0 (47.3–54.7) 50.5 (47.2–53.8) 58.5 (51.0–65.7) 41.7 (33.0–51.1) 69.4 (65.9–72.6) 77.3 (72.6–81.4) 30.9 (28.1–33.9)
New York
North Carolina 42.9 (37.9–48.0) 45.1 (39.3–51.1) 44.1 (39.3–49.0) 44.1 (39.1–49.3) 50.8 (41.8–59.8) 35.8 (28.5–43.8) 61.0 (55.6–66.2) 65.7 (54.3–75.6) 24.3 (20.5–28.5)
North Dakota 39.4 (35.5–43.4) 42.3 (37.8–46.9) 41.0 (37.3–44.8) 40.3 (36.4–44.4) 55.2 (47.6–62.6) 25.1 (15.3–38.5)
Oklahoma 46.1 (39.7–52.6) 50.7 (45.4–56.0) 48.5 (43.4–53.6) 48.1 (42.8–53.3) 60.8 (47.5–72.7) 47.2 (33.2–61.6) 66.1 (59.2–72.3) 76.7 (64.1–85.8) 25.5 (22.1–29.2)
Pennsylvania 39.9 (37.1–42.9) 43.6 (39.9–47.3) 41.8 (39.1–44.5) 41.8 (39.1–44.6) 50.0 (41.7–58.3) 23.6 (16.9–32.0) 59.1 (55.1–62.9) 64.9 (56.6–72.4) 22.8 (19.8–26.1)
Rhode Island 39.3 (33.3–45.7) 41.1 (36.6–45.7) 40.3 (36.7–44.1) 39.1 (36.0–42.3) 51.9 (39.5–64.1) 38.1 (26.3–51.4) 55.8 (47.7–63.7) 66.0 (50.0–78.9) 22.9 (20.2–25.9)
South Carolina 39.9 (35.2–44.7) 41.0 (35.6–46.7) 40.6 (36.3–45.1) 39.0 (33.9–44.4) 52.6 (45.9–59.3) 34.1 (21.2–49.7) 53.0 (45.2–60.7) 61.6 (47.6–73.8) 22.3 (18.5–26.6)
Tennessee 39.7 (36.2–43.3) 40.7 (37.0–44.4) 40.3 (37.1–43.6)
Texas 38.9 (35.7–42.3) 43.2 (39.6–47.0) 41.2 (38.7–43.8) 39.9 (36.9–42.9) 53.0 (45.9–60.1) 34.5 (25.4–44.9) 58.1 (53.2–62.9) 64.9 (51.1–76.6) 21.9 (19.1–25.0)
Utah 33.0 (25.4–41.7) 34.7 (29.4–40.4) 33.9 (28.0–40.4)
Vermont 31.0 (30.1–31.9) 36.8 (35.8–37.7) 34.1 (33.5–34.8) 34.3 (33.6–35.0) 37.5 (35.4–39.6) 25.1 (22.4–28.0) 50.1 (49.1–51.0) 57.1 (54.4–59.9) 11.7 (11.0–12.4)
Virginia 32.5 (29.4–35.8) 33.6 (30.7–36.6) 33.2 (30.7–35.8)
West Virginia 38.9 (33.7–44.3) 49.7 (44.6–54.8) 44.4 (40.0–48.9) 42.9 (38.2–47.8) 60.4 (50.0–69.9) 27.2 (13.9–46.3) 59.5 (54.8–64.0) 73.6 (62.7–82.2) 20.4 (16.5–24.9)
Wisconsin
Median 39.7 42.2 41.1 41.1 52.3 30.9 58.6 65.8 22.3
Range 31.0–49.4 33.6–52.6 33.2–51.0 33.7–50.5 37.5–66.1 20.4–47.2 48.7–69.4 55.7–80.2 11.7–30.9
Large urban school district surveys
Baltimore, MD 32.8 (26.6–39.8) 31.6 (26.8–36.8) 32.4 (28.8–36.3) 31.3 (25.5–37.7) 43.8 (34.6–53.4) 13.7 (6.4–26.9) 35.2 (29.2–41.8) 46.9 (35.4–58.7) 22.5 (14.7–32.9)
Boston, MA
Broward County, FL 43.7 (37.5–50.1) 38.4 (32.8–44.3) 41.1 (37.0–45.3) 40.4 (35.5–45.5) 45.4 (32.3–59.1) 42.1 (24.7–61.8) 54.0 (46.4–61.5) 55.0 (39.8–69.3) 25.1 (20.1–31.0)
Chicago, IL 37.0 (33.1–41.0) 35.6 (31.5–39.8) 36.6 (33.6–39.7) 35.3 (32.0–38.8) 42.6 (36.9–48.5) 34.6 (25.8–44.6) 45.1 (39.9–50.5) 59.6 (51.8–66.9) 23.1 (19.2–27.6)
Cleveland, OH 34.4 (30.5–38.6) 30.2 (26.3–34.4) 32.3 (29.6–35.1) 29.3 (26.3–32.5) 49.4 (42.2–56.6) 38.8 (26.6–52.6) 37.7 (33.7–42.0) 51.2 (43.1–59.3) 17.2 (13.3–21.9)
DeKalb County, GA 29.3 (25.5–33.4) 34.8 (31.4–38.3) 32.1 (29.5–34.8) 29.4 (26.7–32.2) 51.2 (43.6–58.7) 30.7 (20.5–43.3) 41.9 (38.1–45.7) 59.9 (52.2–67.0) 15.8 (13.1–19.0)
Detroit, MI 31.2 (27.6–35.2) 33.4 (29.3–37.7) 32.4 (29.6–35.4) 30.6 (27.3–34.0) 42.5 (33.0–52.6) 34.1 (20.3–51.2) 40.0 (35.3–44.8) 40.9 (31.8–50.6) 20.9 (17.8–24.5)
District of Columbia 29.1 (27.6–30.6) 29.2 (27.6–30.9) 29.3 (28.2–30.4) 27.2 (26.0–28.4) 41.9 (38.7–45.2) 30.0 (24.9–35.6) 34.1 (32.2–35.9) 48.3 (44.5–52.1) 16.8 (15.4–18.3)
Duval County, FL 37.0 (34.4–39.8) 36.3 (33.3–39.5) 37.0 (34.7–39.2) 34.1 (31.7–36.6) 52.9 (47.8–57.9) 32.4 (24.7–41.3) 46.2 (42.9–49.5) 55.7 (50.5–60.8) 19.2 (16.7–21.9)
Ft. Worth, TX 37.3 (34.3–40.4) 41.1 (38.3–44.0) 39.3 (37.2–41.5) 38.2 (35.8–40.6) 54.3 (47.8–60.7) 38.2 (28.6–48.7) 53.0 (49.9–56.2) 65.7 (57.7–72.9) 25.1 (22.7–27.7)
Houston, TX 36.1 (33.6–38.7) 38.2 (35.3–41.2) 37.2 (35.2–39.3) 36.4 (34.2–38.6) 42.7 (37.1–48.5) 36.7 (27.5–47.0) 49.8 (46.5–53.1) 53.6 (47.5–59.6) 24.0 (21.4–26.8)
Los Angeles, CA 35.3 (29.4–41.6) 37.5 (33.4–41.8) 36.4 (32.1–40.8) 36.4 (32.0–41.0) 42.9 (32.8–53.6) 32.0 (19.3–48.0) 50.0 (44.3–55.8) 56.1 (41.6–69.6) 22.7 (18.8–27.2)
Miami-Dade County, FL 39.5 (36.1–42.9) 40.4 (37.0–44.0) 40.0 (37.7–42.3) 38.7 (36.2–41.2) 51.3 (44.5–58.0) 32.0 (21.4–44.8) 52.5 (49.0–56.1) 62.8 (55.6–69.4) 23.0 (20.6–25.6)
New York City, NY
Oakland, CA 38.5 (34.2–43.0) 39.6 (35.8–43.5) 39.1 (35.9–42.5) 37.8 (34.5–41.2) 51.8 (42.5–61.0) 35.4 (23.8–48.9) 54.3 (49.2–59.4) 60.1 (50.0–69.3) 24.6 (21.4–28.1)
Orange County, FL 34.8 (31.0–38.8) 42.2 (37.5–47.0) 38.7 (35.0–42.5) 37.9 (34.2–41.8) 48.7 (38.9–58.6) 33.2 (21.9–46.8) 55.7 (49.7–61.5) 58.4 (47.4–68.7) 22.3 (18.4–26.6)
Palm Beach County, FL 42.2 (38.3–46.1) 41.7 (38.2–45.4) 42.0 (39.5–44.5) 41.1 (38.2–44.1) 48.6 (40.6–56.8) 42.1 (32.3–52.6) 60.3 (56.7–63.8) 63.2 (54.6–71.0) 23.3 (20.9–26.0)
Philadelphia, PA 35.5 (31.7–39.5) 33.4 (28.5–38.7) 34.5 (31.1–38.0) 33.7 (30.4–37.1) 38.9 (30.5–48.0) 22.0 (12.5–35.9) 44.0 (39.9–48.2) 49.1 (40.2–58.1) 19.2 (16.5–22.3)
San Diego, CA 39.0 (35.3–42.8) 37.3 (33.2–41.5) 38.1 (35.3–40.9) 37.6 (35.0–40.3) 49.3 (42.8–55.8) 28.3 (19.0–39.9) 57.6 (53.5–61.6) 56.9 (49.3–64.3) 18.1 (15.9–20.5)
San Francisco, CA 24.5 (21.5–27.7) 25.6 (22.4–29.1) 25.0 (22.3–27.9) 25.2 (22.5–28.1) 32.4 (24.3–41.8) 15.3 (10.3–22.0) 47.4 (42.5–52.3) 52.4 (41.9–62.8) 12.4 (10.4–14.6)
Shelby County, TN 29.3 (26.3–32.4) 31.8 (27.5–36.4) 30.5 (27.5–33.8) 28.8 (25.5–32.3) 41.1 (33.1–49.6) 32.3 (19.3–48.9) 37.5 (33.0–42.3) 45.7 (36.9–54.8) 18.6 (15.1–22.7)
Median 35.5 36.3 36.6 35.3 45.4 32.4 47.4 55.7 22.3
Range 24.5–43.7 25.6–42.2 25.0–42.0 25.2–41.1 32.4–54.3 13.7–42.1 34.1–60.3 40.9–65.7 12.4–25.1

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens.
95% confidence interval.
§ Not available.

TABLE 66. Percentage of high school students who currently used an electronic vapor product,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 10.5 (8.8–12.7) 15.9 (13.8–18.2) 13.2 (11.4–15.2)
Race/Ethnicity
White§ 11.8 (8.9–15.5) 19.6 (16.8–22.8) 15.6 (13.0–18.5)
Black§ 7.7 (4.7–12.2) 9.2 (6.2–13.3) 8.5 (6.1–11.6)
Hispanic 10.5 (8.1–13.5) 12.3 (9.7–15.5) 11.4 (9.3–14.0)
Grade
9 7.8 (5.8–10.5) 11.3 (9.1–13.9) 9.5 (7.6–11.8)
10 9.5 (7.3–12.2) 13.4 (10.8–16.4) 11.4 (9.5–13.6)
11 11.1 (8.7–14.0) 17.0 (13.7–21.0) 14.1 (11.5–17.1)
12 14.1 (11.5–17.3) 22.7 (19.0–26.9) 18.3 (15.7–21.2)
Sexual identity
Heterosexual (straight) 9.6 (8.0–11.4) 16.3 (14.0–18.8) 13.2 (11.4–15.2)
Gay, lesbian, or bisexual 17.8 (13.9–22.5) 16.1 (10.7–23.6) 17.5 (14.3–21.3)
Not sure 10.3 (5.6–18.3) 8.5 (4.6–15.2) 10.8 (7.0–16.3)
Sex of sexual contacts
Opposite sex only 16.4 (13.8–19.3) 27.7 (23.8–31.9) 22.6 (19.6–26.0)
Same sex only or both sexes 28.6 (22.6–35.5) 22.2 (14.9–31.6) 27.0 (22.4–32.2)
No sexual contact 3.0 (2.2–4.1) 4.0 (3.1–5.0) 3.5 (2.8–4.3)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 67. Percentage of high school students who currently used an electronic vapor product,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 16.4 (13.5–19.7) 15.1 (12.3–18.2) 15.7 (13.6–18.1) §
Arizona 13.1 (10.0–16.9) 18.9 (13.6–25.6) 16.1 (12.2–20.9) 14.3 (10.5–19.1) 30.8 (21.9–41.4) 7.6 (2.7–19.9)
Arkansas 10.2 (7.0–14.7) 17.2 (13.5–21.7) 13.9 (11.1–17.2) 12.5 (9.3–16.7) 24.4 (17.6–32.7) 13.7 (4.5–35.1) 20.3 (14.8–27.3) 26.6 (15.1–42.4) 2.9 (1.4–5.7)
California 15.2 (11.6–19.7) 19.1 (16.1–22.5) 17.3 (15.0–19.9) 17.3 (14.6–20.4) 20.0 (13.6–28.4) 10.1 (4.1–22.7) 28.9 (24.1–34.1) 28.2 (17.7–41.7) 7.1 (4.8–10.5)
Colorado 26.0 (20.6–32.1) 26.1 (20.4–32.7) 26.2 (21.0–32.1) 27.2 (21.5–33.7) 29.6 (21.6–39.1) 21.3 (14.8–29.7)
Connecticut
Delaware 12.6 (10.3–15.3) 14.8 (12.5–17.5) 13.6 (12.0–15.4) 13.1 (11.2–15.3) 17.5 (11.9–25.0) 14.0 (7.3–25.2) 19.8 (17.0–22.9) 23.2 (15.4–33.3) 5.3 (3.6–7.7)
Florida
Hawaii 22.0 (20.2–23.9) 28.2 (25.1–31.5) 25.5 (23.5–27.5) 23.7 (21.6–25.8) 34.8 (30.2–39.6) 21.2 (15.2–28.8) 39.6 (36.2–43.0) 46.9 (39.4–54.6) 11.9 (9.9–14.2)
Idaho 12.6 (10.0–15.6) 16.0 (12.8–19.9) 14.3 (11.7–17.3)
Illinois 11.9 (8.6–16.2) 14.1 (10.3–19.0) 13.2 (10.0–17.4) 12.4 (9.1–16.6) 22.8 (17.2–29.5) 6.1 (2.9–12.6) 20.0 (15.1–26.0) 34.9 (26.9–43.8) 4.4 (2.4–8.0)
Iowa 8.2 (4.1–15.9) 9.4 (5.6–15.4) 9.0 (5.5–14.5) 8.2 (4.5–14.3) 19.9 (10.1–35.5) 5.3 (1.1–22.7) 12.0 (5.9–22.9) 30.4 (22.1–40.1) 3.5 (1.7–7.1)
Kansas 7.5 (5.9–9.4) 13.6 (10.5–17.3) 10.6 (8.7–12.9)
Kentucky 11.3 (8.9–14.4) 16.4 (13.0–20.5) 14.1 (11.7–16.8) 13.2 (11.2–15.6) 23.2 (14.6–34.8) 9.9 (3.5–25.2) 22.3 (18.8–26.1) 32.0 (22.8–42.7) 4.3 (2.9–6.4)
Louisiana 9.7 (7.4–12.5) 14.1 (10.8–18.4) 12.2 (9.9–15.0)
Maine 13.1 (11.6–14.8) 18.2 (16.3–20.2) 15.8 (14.4–17.4) 15.5 (14.0–17.2) 17.6 (15.3–20.1) 16.5 (12.8–21.0) 24.9 (22.7–27.1) 29.0 (25.5–32.7) 4.1 (3.5–4.8)
Maryland 12.1 (11.5–12.8) 14.0 (13.3–14.7) 13.3 (12.7–13.9) 11.5 (11.0–12.0) 22.0 (20.1–24.0) 13.2 (11.4–15.1)
Massachusetts 18.4 (15.7–21.5) 21.9 (18.3–25.9) 20.1 (17.4–23.1) 19.9 (17.1–23.0) 22.9 (18.6–27.8) 19.9 (11.7–31.7) 31.2 (26.6–36.3) 37.9 (31.9–44.3) 7.3 (5.9–9.0)
Michigan 13.1 (8.7–19.4) 16.3 (11.3–22.9) 14.8 (10.6–20.4) 13.5 (9.2–19.5) 24.2 (14.5–37.6) 15.1 (7.5–28.1) 23.8 (16.4–33.1) 33.6 (21.3–48.5) 4.4 (2.5–7.7)
Missouri 7.9 (5.4–11.5) 13.6 (11.4–16.2) 10.9 (8.7–13.6)
Montana 20.7 (17.7–24.1) 24.0 (21.7–26.5) 22.5 (20.2–24.9)
Nebraska 7.1 (5.1–9.7) 11.3 (8.6–14.8) 9.4 (7.4–11.7) 8.6 (6.7–11.0) 17.5 (10.4–28.0) 8.7 (3.5–19.7) 17.0 (13.1–21.7) 20.6 (12.3–32.5) 3.7 (2.5–5.4)
Nevada 14.8 (11.4–19.0) 15.8 (12.5–19.8) 15.5 (12.5–19.1) 14.8 (11.9–18.2) 19.0 (14.0–25.4) 17.3 (8.3–32.6) 25.6 (21.3–30.5) 26.1 (16.7–38.3) 5.9 (3.7–9.3)
New Hampshire 20.4 (18.9–21.9) 26.9 (24.9–28.9) 23.8 (22.4–25.2) 23.8 (22.3–25.4) 26.3 (22.9–30.1) 18.5 (14.4–23.4) 35.5 (33.4–37.8) 45.0 (40.1–49.9) 9.0 (7.9–10.4)
New Mexico 22.4 (20.2–24.9) 26.9 (23.5–30.4) 24.7 (22.2–27.4) 24.1 (21.9–26.5) 30.3 (23.9–37.6) 19.3 (14.0–25.9) 36.9 (34.0–39.9) 42.8 (37.8–48.0) 11.1 (9.5–12.9)
New York 13.7 (11.9–15.7) 14.5 (12.0–17.5) 14.5 (12.5–16.8) 12.8 (10.4–15.6) 22.2 (17.6–27.6) 19.2 (17.0–21.5) 24.2 (20.1–28.9) 36.5 (30.8–42.6) 4.7 (3.7–6.1)
North Carolina 19.8 (16.3–23.9) 24.2 (19.3–29.8) 22.1 (18.1–26.6) 21.6 (17.2–26.8) 28.9 (24.0–34.4) 14.0 (9.6–20.0) 32.2 (26.3–38.8) 39.5 (32.0–47.6) 9.0 (6.3–12.6)
North Dakota 19.0 (16.1–22.2) 22.0 (18.5–26.0) 20.6 (17.8–23.7) 20.0 (17.2–23.2) 28.7 (21.7–36.8) 11.6 (5.9–21.7)
Oklahoma 13.8 (10.5–18.0) 18.9 (14.7–23.9) 16.4 (13.2–20.0) 15.3 (12.1–19.1) 29.9 (20.5–41.3) 15.1 (5.8–34.2) 27.4 (21.4–34.4) 41.1 (29.2–54.2) 2.8 (1.7–4.6)
Pennsylvania 9.8 (8.2–11.8) 12.7 (9.8–16.3) 11.3 (9.3–13.7) 11.0 (8.7–13.7) 16.8 (12.1–22.8) 6.0 (2.6–13.3) 19.3 (15.3–24.0) 25.5 (18.2–34.6) 2.7 (1.9–4.0)
Rhode Island 17.0 (14.0–20.6) 22.3 (18.3–26.9) 20.1 (16.9–23.7) 20.1 (16.8–24.0) 21.1 (11.7–35.0) 17.7 (9.1–31.8) 29.9 (22.4–38.7) 35.6 (25.8–46.8) 9.2 (7.4–11.3)
South Carolina 9.4 (7.0–12.6) 14.0 (11.1–17.6) 11.9 (9.7–14.4) 10.3 (8.0–13.2) 21.6 (13.5–32.7) 14.7 (8.1–25.0) 17.5 (14.0–21.6) 32.7 (19.5–49.3) 3.3 (1.7–6.3)
Tennessee 8.6 (6.0–12.1) 13.8 (11.4–16.7) 11.5 (9.3–14.1)
Texas 7.0 (4.7–10.5) 13.1 (10.1–16.8) 10.3 (7.8–13.4) 9.7 (7.1–12.9) 15.3 (9.5–23.8) 4.7 (1.2–16.0) 16.7 (12.1–22.6) 22.1 (12.0–37.0) 2.4 (1.6–3.6)
Utah 7.0 (5.0–9.7) 8.1 (5.2–12.4) 7.6 (5.5–10.4)
Vermont 9.2 (8.6–9.8) 14.4 (13.7–15.1) 12.0 (11.6–12.5) 11.7 (11.2–12.2) 15.2 (13.6–16.9) 11.0 (9.1–13.3) 18.8 (18.0–19.7) 29.7 (27.0–32.4) 1.9 (1.6–2.2)
Virginia 10.8 (9.1–12.9) 12.6 (10.0–15.9) 11.8 (9.8–14.0)
West Virginia 8.9 (6.6–11.8) 19.1 (15.8–22.9) 14.3 (11.7–17.3) 13.3 (10.8–16.2) 20.6 (12.6–32.0) 12.1 (5.0–26.8) 20.5 (17.2–24.2) 29.8 (20.8–40.6) 2.8 (1.6–4.9)
Wisconsin 8.8 (6.7–11.4) 14.0 (10.8–18.1) 11.6 (9.3–14.4) 11.2 (8.9–14.1) 14.3 (9.5–20.8) 12.2 (7.0–20.5) 18.8 (15.0–23.3) 28.4 (18.3–41.2) 3.5 (2.1–5.7)
Median 12.6 15.8 14.3 13.4 22.1 13.9 23.0 31.2 4.4
Range 7.0–26.0 8.1–28.2 7.6–26.2 8.2–27.2 14.3–34.8 4.7–21.3 12.0–39.6 20.6–46.9 1.9–11.9
Large urban school district surveys
Baltimore, MD 3.7 (2.1–6.5) 5.8 (3.3–9.9) 4.8 (3.3–6.9) 3.5 (2.0–6.1) 5.6 (2.0–14.5) 1.7 (0.2–12.8) 4.5 (2.3–8.6) 9.0 (2.9–24.5) 0.9 (0.2–3.9)
Boston, MA 5.9 (4.3–8.2) 5.2 (3.5–7.5) 5.7 (4.5–7.3) 4.5 (3.4–6.0) 15.7 (9.8–24.4) 3.6 (1.0–12.8) 7.3 (5.4–9.8) 11.5 (6.3–20.0) 1.6 (0.8–3.1)
Broward County, FL 6.5 (3.6–11.3) 9.7 (6.3–14.6) 8.1 (5.8–11.3) 8.4 (6.1–11.4) 6.9 (3.2–14.1) 0.4 (0.0–3.3) 12.2 (8.5–17.3) 15.7 (7.1–31.1) 2.6 (1.0–6.2)
Chicago, IL 6.0 (3.6–9.8) 6.2 (3.9–9.6) 6.6 (4.5–9.7) 5.1 (3.2–8.0) 12.5 (7.6–20.0) 7.3 (3.2–15.6) 7.4 (4.3–12.5) 19.4 (13.4–27.3) 1.8 (0.8–4.2)
Cleveland, OH 7.8 (5.8–10.6) 8.8 (6.6–11.6) 8.5 (7.0–10.2) 7.3 (5.7–9.2) 13.9 (8.4–22.1) 9.4 (3.3–24.1) 8.6 (6.4–11.5) 16.6 (10.4–25.4) 3.1 (1.6–5.8)
DeKalb County, GA 3.1 (2.1–4.5) 9.0 (7.1–11.4) 6.1 (5.0–7.5) 4.8 (3.6–6.2) 9.5 (6.0–14.9) 13.2 (6.9–23.8) 8.2 (6.2–10.9) 14.4 (9.3–21.5) 2.3 (1.3–4.1)
Detroit, MI 4.1 (2.7–6.4) 4.9 (3.0–7.9) 4.7 (3.4–6.5) 3.1 (1.9–4.8) 13.3 (8.4–20.6) 4.3 (1.4–12.6) 4.9 (3.1–7.7) 11.5 (6.6–19.2) 2.1 (1.0–4.3)
District of Columbia 9.2 (8.2–10.2) 11.8 (10.7–13.0) 10.9 (10.2–11.7) 9.3 (8.5–10.1) 17.9 (15.5–20.5) 13.2 (10.0–17.3) 11.9 (10.7–13.3) 21.3 (18.4–24.5) 3.1 (2.5–3.9)
Duval County, FL 7.5 (6.3–9.1) 7.8 (6.4–9.6) 7.9 (6.8–9.1) 5.0 (4.2–6.1) 17.7 (13.7–22.6) 12.6 (8.1–19.2) 9.4 (7.6–11.5) 19.5 (15.3–24.6) 0.9 (0.4–1.8)
Ft. Worth, TX 5.5 (4.4–7.0) 9.0 (7.4–10.8) 7.4 (6.3–8.6) 6.3 (5.2–7.5) 18.2 (13.4–24.3) 2.6 (0.7–9.0) 11.2 (9.2–13.5) 21.1 (14.7–29.3) 2.3 (1.6–3.4)
Houston, TX 6.0 (4.9–7.3) 7.0 (5.5–8.9) 6.6 (5.5–7.9) 5.5 (4.6–6.7) 10.0 (6.6–14.8) 10.4 (4.7–21.3) 10.8 (8.7–13.3) 19.0 (13.4–26.3) 1.6 (1.0–2.4)
Los Angeles, CA 3.4 (1.8–6.3) 6.1 (5.0–7.4) 4.9 (3.6–6.6) 4.4 (3.2–6.0) 13.2 (5.6–28.1) 2.0 (0.2–15.9) 7.3 (5.2–10.0) 13.7 (6.0–28.6) 2.0 (1.0–3.9)
Miami-Dade County, FL 5.7 (4.3–7.6) 8.6 (6.8–10.9) 7.4 (6.2–8.8) 5.9 (4.7–7.4) 13.7 (9.7–18.9) 14.3 (7.1–26.9) 9.9 (7.9–12.4) 21.9 (16.1–29.2) 1.3 (0.7–2.3)
New York City, NY 15.5 (13.8–17.3) 18.3 (16.5–20.2) 17.3 (15.8–18.9) 15.4 (13.9–17.1) 28.6 (24.5–33.1) 18.7 (16.3–21.3) 26.0 (23.0–29.3) 34.7 (30.2–39.4) 8.9 (7.9–10.0)
Oakland, CA 10.5 (8.5–12.9) 11.7 (9.5–14.2) 11.2 (9.6–13.1) 10.4 (8.8–12.3) 19.0 (13.3–26.5) 10.7 (5.3–20.5) 15.9 (12.9–19.4) 22.3 (14.6–32.3) 5.0 (3.5–7.0)
Orange County, FL 6.8 (4.8–9.5) 12.0 (9.2–15.5) 9.6 (7.7–12.0) 8.4 (6.5–10.8) 11.5 (6.7–19.0) 17.6 (8.6–32.9) 15.3 (11.9–19.4) 22.8 (14.5–34.0) 3.2 (1.8–5.6)
Palm Beach County, FL 8.9 (6.7–11.7) 10.9 (8.8–13.3) 10.0 (8.5–11.7) 8.8 (7.2–10.7) 15.0 (10.0–21.7) 14.5 (7.6–26.0) 17.5 (14.4–21.0) 26.6 (18.6–36.4) 1.8 (1.1–2.9)
Philadelphia, PA 5.4 (3.3–8.5) 4.6 (2.4–8.8) 5.0 (3.1–8.1) 3.8 (2.2–6.3) 11.0 (5.8–20.1) 8.2 (2.0–28.6) 5.7 (3.5–9.1) 16.8 (7.2–34.5) 1.3 (0.7–2.6)
San Diego, CA 6.8 (5.2–8.8) 8.5 (6.8–10.6) 7.7 (6.5–9.0) 7.7 (6.4–9.3) 9.5 (5.9–14.9) 3.9 (1.4–10.4) 13.8 (11.1–17.1) 17.5 (11.7–25.3) 1.5 (0.9–2.3)
San Francisco, CA 6.8 (5.5–8.4) 7.1 (5.4–9.4) 7.1 (5.8–8.6) 6.7 (5.4–8.2) 11.1 (7.3–16.6) 5.0 (2.1–11.4) 13.2 (10.2–17.0) 22.2 (15.4–30.9) 2.6 (1.8–3.7)
Shelby County, TN 4.9 (3.4–7.1) 7.2 (5.4–9.6) 6.3 (4.8–8.2) 4.6 (3.4–6.1) 11.3 (7.3–16.9) 15.1 (8.0–26.7) 7.3 (5.4–9.7) 11.0 (6.4–18.2) 1.5 (0.7–3.2)
Median 6.0 8.5 7.4 5.9 13.2 9.4 9.9 19.0 2.0
Range 3.1–15.5 4.6–18.3 4.7–17.3 3.1–15.4 5.6–28.6 0.4–18.7 4.5–26.0 9.0–34.7 0.9–8.9

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 68. Percentage of high school students who currently frequently used an electronic vapor product,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 1.6 (1.0–2.4) 5.0 (4.1–6.2) 3.3 (2.6–4.2)
Race/Ethnicity
White§ 2.2 (1.4–3.6) 6.6 (5.0–8.6) 4.3 (3.3–5.6)
Black§ 0.5 (0.1–1.6) 2.2 (1.3–3.9) 1.4 (0.9–2.3)
Hispanic 1.1 (0.6–2.1) 3.1 (2.1–4.5) 2.1 (1.4–3.1)
Grade
9 1.0 (0.4–2.2) 2.6 (1.7–3.9) 1.8 (1.2–2.7)
10 1.5 (0.8–3.1) 3.8 (2.7–5.5) 2.7 (1.9–3.8)
11 1.4 (0.8–2.4) 6.1 (4.4–8.5) 3.7 (2.7–5.0)
12 2.2 (1.2–4.0) 7.9 (5.7–10.9) 5.0 (3.7–6.7)
Sexual identity
Heterosexual (straight) 1.1 (0.7–1.7) 5.2 (4.1–6.4) 3.3 (2.6–4.1)
Gay, lesbian, or bisexual 3.5 (1.9–6.4) 4.7 (2.5–8.7) 4.0 (2.5–6.3)
Not sure 2.0 (0.4–9.2) 3.3 (1.4–7.8) 3.4 (1.4–8.2)
Sex of sexual contacts
Opposite sex only 2.1 (1.3–3.5) 9.4 (7.3–12.1) 6.2 (4.8–7.9)
Same sex only or both sexes 6.2 (2.9–12.5) 7.1 (3.8–13.0) 6.4 (3.8–10.7)
No sexual contact 0.3 (0.1–0.6) 1.0 (0.6–1.7) 0.6 (0.4–1.0)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 69. Percentage of high school students who currently frequently used an electronic vapor product,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 1.7 (0.9–3.0) 3.5 (1.7–6.8) 2.7 (1.5–4.6) §
Arizona 2.4 (1.1–5.2) 8.0 (5.2–12.1) 5.3 (3.2–8.8) 5.2 (3.1–8.9) 8.0 (3.5–17.3) 0.3 (0.0–2.7)
Arkansas 1.3 (0.5–3.0) 3.4 (2.0–5.6) 2.3 (1.7–3.2) 2.2 (1.5–3.4) 3.1 (0.8–10.9) 1.8 (0.2–12.6) 3.6 (1.8–7.0) 5.8 (2.2–14.6) 0.1 (0.0–1.3)
California 1.4 (0.4–4.5) 3.4 (2.1–5.7) 2.5 (1.7–3.8) 2.6 (1.6–4.1) 1.3 (0.2–10.2) 4.3 (1.0–17.2) 4.5 (2.7–7.3) 2.2 (0.5–8.6) 0.9 (0.3–2.9)
Colorado 5.2 (2.8–9.4) 5.7 (3.6–9.0) 5.6 (3.5–8.8) 5.3 (3.3–8.5) 7.4 (3.4–15.2) 6.2 (1.5–22.3)
Connecticut
Delaware 0.7 (0.3–1.3) 3.6 (2.4–5.5) 2.2 (1.5–3.1) 1.9 (1.2–2.8) 3.0 (1.1–8.1) 6.1 (1.8–19.0) 3.3 (2.2–4.9) 7.1 (2.7–17.5) 0.3 (0.1–1.5)
Florida
Hawaii 2.6 (2.0–3.2) 7.7 (6.3–9.2) 5.1 (4.4–6.0) 4.7 (3.9–5.6) 5.0 (3.4–7.3) 5.5 (2.7–11.0) 9.3 (7.9–11.1) 9.7 (6.2–14.7) 1.5 (1.0–2.1)
Idaho 2.2 (1.3–3.8) 4.5 (3.1–6.5) 3.4 (2.5–4.5)
Illinois 1.5 (0.9–2.5) 4.6 (2.8–7.5) 3.3 (2.0–5.4) 3.1 (1.9–5.0) 3.4 (1.7–6.4) 1.2 (0.2–6.7) 5.4 (3.1–9.4) 5.9 (2.7–12.1) 0.3 (0.1–1.2)
Iowa 0.6 (0.1–3.3) 2.0 (0.8–5.0) 1.5 (0.6–3.4) 1.1 (0.4–3.0) 4.4 (1.0–17.2) 3.5 (0.4–27.0) 1.8 (0.6–5.9) 2.3 (0.4–13.2) 0.7 (0.2–3.5)
Kansas 1.2 (0.5–2.6) 3.5 (2.1–5.8) 2.4 (1.5–3.7)
Kentucky 1.2 (0.6–2.5) 4.1 (2.5–6.6) 2.7 (1.8–4.0) 2.3 (1.4–3.8) 3.4 (1.6–7.1) 4.7 (1.4–14.9) 3.8 (2.4–5.9) 8.5 (4.3–16.4) 0.9 (0.4–2.3)
Louisiana 0.8 (0.2–2.6) 2.5 (1.1–5.3) 1.7 (0.8–3.7)
Maine 1.1 (0.7–1.7) 3.3 (2.7–4.0) 2.3 (2.0–2.7) 2.0 (1.7–2.4) 2.5 (1.6–4.0) 6.5 (4.3–9.9) 3.5 (2.8–4.2) 5.5 (3.8–8.0) 0.2 (0.1–0.5)
Maryland 1.1 (1.0–1.3) 2.6 (2.4–2.9) 2.0 (1.8–2.2) 1.5 (1.4–1.7) 3.5 (2.9–4.1) 4.0 (3.1–5.2)
Massachusetts 0.9 (0.5–1.8) 5.7 (3.4–9.4) 3.3 (2.0–5.4) 3.2 (1.8–5.6) 2.8 (1.3–6.1) 4.5 (1.7–11.5) 5.7 (3.1–10.1) 4.1 (1.8–9.3) 0.6 (0.3–1.3)
Michigan 2.9 (1.2–7.1) 5.0 (2.9–8.4) 3.9 (2.3–6.7) 3.7 (2.1–6.6) 5.0 (2.1–11.3) 2.2 (0.5–9.0) 7.4 (4.0–13.1) 10.1 (4.4–21.4) 0.1 (0.0–1.0)
Missouri 1.6 (0.6–3.9) 3.4 (2.4–4.8) 2.7 (1.8–4.1)
Montana 2.1 (1.6–2.9) 5.1 (4.1–6.3) 3.7 (3.1–4.4)
Nebraska 1.2 (0.5–3.1) 2.2 (1.2–4.0) 1.7 (1.0–2.9) 1.8 (1.0–3.1) 2.4 (0.9–6.5) 0.0 4.6 (2.6–7.7) 3.2 (1.0–9.9) 0.1 (0.0–0.5)
Nevada 2.1 (0.9–4.6) 3.3 (2.0–5.4) 2.8 (1.7–4.5) 2.9 (1.8–4.8) 1.4 (0.4–4.9) 6.2 (1.8–19.3) 4.9 (2.9–8.1) 6.3 (2.6–14.3) 0.7 (0.4–1.5)
New Hampshire 3.0 (2.3–3.9) 8.0 (6.7–9.6) 5.7 (4.8–6.6) 5.4 (4.5–6.5) 6.3 (4.5–8.6) 8.3 (5.4–12.7) 8.6 (7.2–10.3) 15.9 (12.3–20.2) 1.2 (0.8–1.7)
New Mexico 2.4 (1.8–3.2) 4.9 (3.9–6.2) 3.7 (3.1–4.5) 3.5 (2.8–4.3) 4.4 (2.7–7.2) 5.4 (3.1–9.0) 6.4 (5.1–7.9) 7.2 (5.0–10.1) 0.6 (0.3–1.1)
New York 1.4 (0.9–2.2) 3.3 (2.5–4.3) 2.4 (1.9–3.1) 2.1 (1.5–3.0) 3.4 (2.0–5.7) 4.2 (2.4–7.1) 4.3 (2.9–6.3) 9.3 (6.1–14.0) 0.3 (0.2–0.4)
North Carolina 2.0 (1.3–3.2) 5.6 (3.5–8.9) 3.8 (2.6–5.7) 3.8 (2.4–6.0) 3.5 (2.1–6.0) 2.3 (0.6–9.1) 6.7 (4.3–10.4) 5.6 (3.0–10.0) 0.6 (0.3–1.2)
North Dakota 2.3 (1.5–3.6) 5.8 (4.3–7.6) 4.1 (3.2–5.4) 4.0 (3.0–5.2) 4.1 (2.0–8.1) 5.4 (1.7–16.0)
Oklahoma 1.5 (0.7–3.2) 4.7 (3.0–7.4) 3.1 (2.1–4.8) 3.0 (1.8–4.9) 4.9 (2.1–10.9) 3.0 (0.5–15.6) 5.6 (3.5–9.0) 6.3 (2.6–14.5) 0.4 (0.0–2.6)
Pennsylvania 1.0 (0.5–2.0) 3.4 (2.1–5.4) 2.3 (1.6–3.3) 2.2 (1.4–3.3) 3.7 (1.6–8.7) 2.1 (0.5–8.0) 4.0 (2.5–6.2) 6.1 (2.9–12.2) 0.3 (0.1–1.0)
Rhode Island 1.8 (0.7–4.7) 5.1 (3.0–8.5) 3.7 (2.1–6.4) 3.3 (1.9–5.7) 4.8 (1.2–16.8) 10.2 (2.8–30.8) 7.0 (3.6–13.3) 5.1 (1.5–15.4) 0.3 (0.1–1.0)
South Carolina 0.7 (0.3–2.2) 3.9 (2.5–6.0) 2.5 (1.5–3.9) 2.0 (1.0–3.8) 4.2 (2.0–8.3) 4.8 (0.7–28.0) 3.5 (1.8–6.8) 5.9 (1.7–18.0) 0.4 (0.1–1.7)
Tennessee 1.6 (0.8–2.9) 3.2 (2.3–4.3) 2.5 (2.0–3.1)
Texas 0.7 (0.2–2.3) 3.4 (1.9–5.9) 2.0 (1.1–3.6) 1.9 (1.0–3.7) 2.4 (0.7–7.5) 0.0 3.5 (1.8–6.8) 5.6 (1.8–15.6) 0.3 (0.1–1.1)
Utah 1.9 (0.9–4.2) 3.7 (1.8–7.2) 2.8 (1.6–4.9)
Vermont 1.3 (1.0–1.6) 3.6 (3.3–4.1) 2.6 (2.4–2.9) 2.5 (2.2–2.7) 2.9 (2.2–3.7) 4.7 (3.5–6.4) 3.9 (3.5–4.3) 7.6 (6.2–9.3) 0.2 (0.1–0.3)
Virginia 2.1 (1.3–3.4) 3.9 (2.4–6.2) 3.1 (2.0–4.6)
West Virginia 1.5 (0.7–3.4) 4.5 (3.1–6.4) 3.1 (2.3–4.3) 2.7 (1.9–3.8) 5.8 (2.3–14.0) 2.1 (0.5–8.1) 3.9 (2.8–5.5) 9.8 (4.0–22.4) 0.3 (0.1–0.8)
Wisconsin 0.6 (0.2–1.5) 4.7 (2.8–7.8) 2.8 (1.8–4.5) 2.6 (1.6–4.2) 2.2 (0.9–5.3) 6.6 (2.2–18.5) 5.0 (3.0–8.2) 3.8 (1.2–11.3) 0.6 (0.2–2.0)
Median 1.5 3.9 2.8 2.7 3.5 4.4 4.5 6.0 0.3
Range 0.6–5.2 2.0–8.0 1.5–5.7 1.1–5.4 1.3–8.0 0.0–10.2 1.8–9.3 2.2–15.9 0.1–1.5
Large urban school district surveys
Baltimore, MD 0.2 (0.0–1.2) 0.8 (0.2–3.6) 0.5 (0.1–1.7) 0.1 (0.0–1.0) 1.0 (0.1–7.2) 0.0 0.0 2.5 (0.3–15.9) 0.3 (0.0–1.9)
Boston, MA 0.1 (0.0–0.8) 0.6 (0.2–1.9) 0.4 (0.2–1.2) 0.2 (0.1–0.7) 2.2 (0.5–8.6) 0.3 (0.0–2.6) 0.3 (0.1–1.2) 1.4 (0.2–9.3) 0.0
Broward County, FL 1.2 (0.2–6.5) 3.0 (1.1–7.8) 2.1 (1.0–4.3) 2.2 (1.3–4.0) 0.0 0.0 3.8 (2.0–7.1) 3.3 (0.5–17.7) 0.2 (0.0–1.2)
Chicago, IL 0.3 (0.1–0.9) 0.9 (0.4–2.4) 0.6 (0.3–1.1) 0.7 (0.4–1.4) 0.1 (0.0–1.1) 0.0 1.3 (0.6–2.9) 0.7 (0.1–5.7) 0.1 (0.0–0.9)
Cleveland, OH 0.8 (0.3–2.2) 1.4 (0.7–2.7) 1.1 (0.6–1.9) 0.9 (0.4–1.7) 2.5 (0.8–7.7) 1.7 (0.2–11.8) 0.9 (0.4–2.3) 3.3 (1.2–8.8) 0.0
DeKalb County, GA 0.3 (0.1–0.9) 1.1 (0.5–2.4) 0.7 (0.3–1.3) 0.6 (0.3–1.4) 1.1 (0.3–4.6) 0.0 1.4 (0.6–3.0) 1.4 (0.4–4.7) 0.0
Detroit, MI 0.1 (0.0–1.0) 0.7 (0.3–1.9) 0.4 (0.2–1.0) 0.2 (0.0–0.9) 1.7 (0.5–5.9) 0.0 0.3 (0.0–2.1) 1.7 (0.4–6.7) 0.0
District of Columbia 0.4 (0.2–0.6) 1.0 (0.7–1.4) 0.7 (0.5–0.9) 0.5 (0.3–0.7) 0.9 (0.5–1.6) 3.5 (1.9–6.3) 0.6 (0.4–1.0) 1.9 (1.2–3.0) 0.1 (0.0–0.3)
Duval County, FL 1.0 (0.6–1.6) 1.9 (1.3–2.9) 1.5 (1.1–2.0) 0.8 (0.5–1.2) 3.7 (2.2–6.2) 4.1 (1.8–9.1) 1.5 (0.9–2.4) 4.5 (2.6–7.7) 0.1 (0.0–0.4)
Ft. Worth, TX 0.8 (0.4–1.9) 2.2 (1.5–3.2) 1.6 (1.1–2.3) 1.5 (1.0–2.4) 1.9 (0.8–4.4) 0.5 (0.1–3.5) 2.6 (1.6–4.2) 3.4 (1.2–8.9) 0.4 (0.2–1.1)
Houston, TX 0.9 (0.5–1.6) 2.2 (1.4–3.3) 1.6 (1.1–2.3) 1.4 (0.9–2.0) 1.1 (0.3–3.5) 3.6 (0.8–14.6) 2.4 (1.5–3.8) 5.6 (2.7–11.4) 0.4 (0.1–0.9)
Los Angeles, CA 0.7 (0.2–2.6) 1.0 (0.4–2.4) 0.9 (0.4–2.1) 0.7 (0.3–1.8) 3.2 (0.5–17.1) 2.0 (0.2–15.9) 1.1 (0.4–3.4) 5.9 (1.5–20.1) 0.2 (0.0–1.5)
Miami-Dade County, FL 0.4 (0.2–1.0) 1.5 (0.9–2.5) 0.9 (0.6–1.5) 0.6 (0.4–1.0) 2.3 (0.9–5.8) 4.7 (1.1–17.8) 1.1 (0.6–2.1) 3.4 (1.1–9.7) 0.1 (0.0–0.9)
New York City, NY 1.6 (1.2–2.1) 3.2 (2.7–3.9) 2.5 (2.2–2.9) 2.2 (1.9–2.7) 3.2 (2.1–4.8) 3.3 (2.5–4.4) 4.7 (3.7–5.8) 5.7 (3.8–8.4) 0.7 (0.5–1.0)
Oakland, CA 0.7 (0.3–1.6) 1.0 (0.5–1.9) 0.8 (0.5–1.4) 0.9 (0.5–1.5) 0.6 (0.1–3.8) 1.2 (0.2–8.5) 1.3 (0.6–2.7) 1.2 (0.3–5.1) 0.1 (0.0–0.8)
Orange County, FL 1.8 (0.8–4.1) 3.3 (2.1–5.0) 2.5 (1.7–3.7) 1.9 (1.2–2.9) 3.6 (1.1–10.8) 9.8 (3.6–24.1) 4.4 (2.7–7.0) 8.4 (3.6–18.5) 0.3 (0.0–2.1)
Palm Beach County, FL 1.5 (0.8–2.8) 2.2 (1.4–3.5) 1.9 (1.3–2.7) 1.3 (0.8–2.2) 3.8 (1.6–8.5) 6.1 (2.5–14.1) 2.7 (1.6–4.6) 8.8 (4.5–16.6) 0.3 (0.1–1.4)
Philadelphia, PA 0.1 (0.0–0.7) 0.8 (0.3–2.7) 0.5 (0.2–1.3) 0.5 (0.1–1.7) 0.0 0.8 (0.1–5.6) 0.9 (0.2–3.0) 0.3 (0.0–2.2) 0.0
San Diego, CA 0.4 (0.2–1.2) 1.6 (0.8–3.3) 1.1 (0.6–1.9) 1.1 (0.6–2.1) 1.1 (0.3–3.5) 0.0 1.6 (0.7–3.9) 4.4 (1.6–11.6) 0.1 (0.0–0.4)
San Francisco, CA 1.1 (0.6–2.1) 0.6 (0.3–1.4) 0.9 (0.6–1.4) 0.8 (0.4–1.3) 1.9 (0.6–5.9) 0.8 (0.2–4.0) 1.1 (0.5–2.2) 5.9 (2.6–13.0) 0.2 (0.0–0.6)
Shelby County, TN 0.2 (0.1–0.8) 0.5 (0.2–1.3) 0.4 (0.2–0.9) 0.3 (0.1–0.8) 0.4 (0.1–1.3) 1.9 (0.2–13.0) 0.3 (0.1–1.0) 0.5 (0.1–2.4) 0.2 (0.0–1.4)
Median 0.7 1.1 0.9 0.8 1.7 1.2 1.3 3.3 0.1
Range 0.1–1.8 0.5–3.3 0.4–2.5 0.1–2.2 0.0–3.8 0.0–9.8 0.0–4.7 0.3–8.8 0.0–0.7

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 70. Percentage of high school students who currently used an electronic vapor product daily,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 1.1 (0.7–1.6) 3.8 (3.1–4.5) 2.4 (2.0–3.0)
Race/Ethnicity
White§ 1.5 (0.9–2.3) 4.7 (3.6–6.1) 3.1 (2.4–3.9)
Black§ 0.2 (0.1–0.7) 1.6 (0.7–3.5) 1.0 (0.5–1.9)
Hispanic 0.9 (0.5–1.6) 2.5 (1.6–3.7) 1.7 (1.2–2.4)
Grade
9 0.5 (0.2–1.2) 1.9 (1.2–3.2) 1.2 (0.8–1.9)
10 0.7 (0.3–1.3) 2.6 (1.9–3.6) 1.7 (1.2–2.3)
11 1.0 (0.5–2.0) 4.5 (3.2–6.2) 2.7 (2.0–3.6)
12 2.0 (1.0–3.7) 6.1 (4.3–8.5) 4.0 (2.9–5.4)
Sexual identity
Heterosexual (straight) 0.7 (0.4–1.2) 3.8 (3.1–4.7) 2.4 (1.9–2.9)
Gay, lesbian, or bisexual 2.7 (1.4–5.2) 3.0 (1.3–6.8) 2.8 (1.6–4.8)
Not sure 2.0 (0.4–9.3) 2.6 (0.8–7.8) 3.1 (1.1–8.1)
Sex of sexual contacts
Opposite sex only 1.4 (0.8–2.4) 7.0 (5.5–8.8) 4.5 (3.5–5.6)
Same sex only or both sexes 5.1 (2.2–11.4) 4.2 (1.7–10.0) 4.9 (2.5–9.1)
No sexual contact 0.2 (0.1–0.6) 0.9 (0.5–1.5) 0.5 (0.3–0.9)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on all 30 days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 71. Percentage of high school students who currently used an electronic vapor product daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 1.4 (0.6–3.4) 2.4 (1.1–5.4) 2.0 (0.9–4.1) §
Arizona 1.5 (0.6–3.7) 5.7 (3.7–8.5) 3.7 (2.2–6.2) 3.6 (2.1–6.2) 6.2 (2.5–14.7) 0.3 (0.0–2.7)
Arkansas 0.7 (0.2–2.7) 2.5 (1.4–4.5) 1.6 (0.8–2.9) 1.5 (0.7–2.9) 2.1 (0.3–12.1) 1.8 (0.2–12.6) 2.8 (1.3–6.1) 2.5 (0.4–14.5) 0.1 (0.0–1.3)
California 0.9 (0.4–2.3) 2.7 (1.6–4.5) 1.9 (1.3–2.8) 2.0 (1.3–3.1) 1.3 (0.2–10.2) 1.9 (0.2–13.6) 3.4 (2.0–5.7) 1.5 (0.3–8.3) 0.7 (0.2–2.9)
Colorado 3.6 (1.6–8.3) 3.9 (2.5–6.0) 3.7 (2.2–6.3) 3.3 (1.9–5.7) 5.3 (2.2–12.5) 4.5 (0.8–21.5)
Connecticut
Delaware 0.6 (0.3–1.2) 3.1 (2.0–5.0) 1.9 (1.3–2.8) 1.6 (1.1–2.6) 2.9 (1.0–8.1) 6.1 (1.8–19.0) 2.8 (1.8–4.2) 6.8 (2.5–17.4) 0.3 (0.1–1.4)
Florida
Hawaii 1.6 (1.2–2.2) 5.4 (4.2–6.9) 3.5 (2.8–4.3) 3.3 (2.7–4.1) 2.8 (1.6–4.9) 4.7 (2.1–10.3) 6.4 (5.1–7.9) 6.3 (4.2–9.5) 1.1 (0.7–1.7)
Idaho 1.7 (0.9–3.0) 3.3 (2.1–5.1) 2.5 (1.8–3.4)
Illinois 1.3 (0.7–2.3) 3.5 (2.1–5.8) 2.7 (1.6–4.5) 2.4 (1.4–4.0) 3.3 (1.7–6.4) 1.1 (0.2–6.9) 4.0 (2.1–7.4) 5.8 (2.7–12.1) 0.3 (0.1–1.2)
Iowa 0.0 1.5 (0.5–4.6) 0.9 (0.3–2.6) 0.8 (0.2–2.8) 1.6 (0.2–9.7) 3.5 (0.4–27.0) 0.7 (0.1–6.0) 2.3 (0.4–13.2) 0.7 (0.2–3.5)
Kansas 0.8 (0.3–2.0) 2.1 (1.2–3.7) 1.4 (0.9–2.3)
Kentucky 0.8 (0.3–1.9) 3.0 (1.6–5.6) 1.9 (1.1–3.2) 1.8 (1.0–3.3) 2.5 (1.0–6.5) 0.7 (0.2–2.9) 2.9 (1.7–4.8) 5.4 (2.3–12.5) 0.8 (0.3–2.2)
Louisiana 0.7 (0.2–2.6) 1.9 (0.8–4.4) 1.4 (0.6–3.1)
Maine 0.8 (0.5–1.3) 2.6 (2.1–3.2) 1.7 (1.5–2.1) 1.4 (1.2–1.8) 2.2 (1.3–3.5) 6.5 (4.3–9.9) 2.4 (1.9–3.1) 5.1 (3.3–7.7) 0.2 (0.1–0.4)
Maryland 0.8 (0.7–1.0) 2.0 (1.8–2.2) 1.5 (1.3–1.6) 1.1 (1.0–1.2) 2.4 (1.9–2.9) 3.6 (2.7–4.8)
Massachusetts 0.4 (0.2–0.8) 3.8 (2.4–6.2) 2.1 (1.4–3.3) 2.1 (1.3–3.4) 1.1 (0.4–3.1) 4.3 (1.5–11.4) 3.8 (2.3–6.0) 3.5 (1.4–8.6) 0.2 (0.1–0.6)
Michigan 1.9 (0.5–6.4) 3.8 (2.1–7.0) 2.9 (1.5–5.5) 2.8 (1.4–5.4) 3.7 (1.2–10.5) 2.2 (0.5–9.0) 5.4 (2.6–10.7) 8.0 (3.1–19.5) 0.1 (0.0–1.0)
Missouri 1.5 (0.6–3.8) 2.5 (1.9–3.3) 2.1 (1.3–3.4)
Montana 1.1 (0.8–1.7) 3.6 (2.8–4.5) 2.4 (1.9–3.0)
Nebraska 1.1 (0.4–3.1) 1.2 (0.5–3.1) 1.2 (0.6–2.3) 1.2 (0.6–2.6) 1.8 (0.6–5.7) 0.0 3.2 (1.5–6.4) 2.2 (0.5–8.7) 0.1 (0.0–0.5)
Nevada 1.5 (0.6–3.7) 2.3 (1.2–4.2) 1.9 (1.1–3.3) 1.9 (1.0–3.4) 0.9 (0.2–4.7) 6.2 (1.8–19.3) 3.5 (1.9–6.5) 3.4 (1.1–10.3) 0.6 (0.3–1.3)
New Hampshire 1.7 (1.2–2.4) 5.9 (4.8–7.3) 4.0 (3.3–4.8) 3.7 (3.0–4.6) 4.5 (3.0–6.7) 7.6 (4.8–11.9) 6.1 (4.9–7.5) 11.7 (8.6–15.8) 0.5 (0.3–0.8)
New Mexico 1.7 (1.2–2.4) 3.6 (2.8–4.6) 2.7 (2.2–3.4) 2.5 (2.0–3.1) 3.1 (1.9–4.9) 4.6 (2.5–8.5) 4.6 (3.5–6.0) 5.3 (3.4–8.1) 0.4 (0.2–0.7)
New York 0.7 (0.5–1.0) 2.1 (1.6–2.9) 1.5 (1.2–1.9) 1.2 (0.9–1.7) 2.3 (1.3–4.1) 2.6 (1.3–5.0) 2.6 (1.7–4.0) 5.0 (2.9–8.6) 0.2 (0.1–0.3)
North Carolina 1.4 (0.9–2.4) 4.5 (2.4–8.2) 3.0 (1.8–4.8) 3.0 (1.6–5.3) 2.7 (1.5–4.8) 1.9 (0.4–9.2) 5.2 (2.9–9.1) 5.0 (2.6–9.3) 0.4 (0.2–0.9)
North Dakota 0.8 (0.4–1.8) 4.5 (3.2–6.3) 2.8 (1.9–4.0) 2.7 (1.8–3.9) 2.1 (0.7–5.9) 5.4 (1.7–16.0)
Oklahoma 1.0 (0.4–2.4) 2.9 (1.7–5.0) 1.9 (1.1–3.4) 1.9 (1.0–3.5) 3.1 (1.3–6.9) 0.0 3.6 (2.0–6.4) 4.3 (1.7–10.5) 0.0
Pennsylvania 0.7 (0.3–1.4) 2.5 (1.4–4.3) 1.7 (1.1–2.5) 1.7 (1.1–2.6) 1.5 (0.4–5.2) 0.8 (0.2–3.7) 3.1 (1.8–5.2) 3.7 (1.5–9.1) 0.1 (0.0–0.9)
Rhode Island 0.9 (0.3–2.7) 4.3 (2.5–7.3) 2.7 (1.4–5.2) 2.2 (1.1–4.5) 3.8 (0.7–17.6) 10.2 (2.8–30.8) 5.1 (2.3–11.0) 4.6 (1.3–15.1) 0.1 (0.0–0.7)
South Carolina 0.3 (0.1–1.4) 2.4 (1.2–5.0) 1.5 (0.8–2.8) 1.1 (0.4–2.9) 2.6 (0.9–7.4) 4.3 (0.5–29.7) 1.7 (0.6–5.3) 5.0 (1.5–15.4) 0.2 (0.0–1.3)
Tennessee 0.8 (0.4–1.7) 1.9 (1.3–2.8) 1.5 (1.1–2.1)
Texas 0.5 (0.1–2.1) 2.5 (1.2–5.1) 1.5 (0.7–3.1) 1.5 (0.7–3.4) 0.0 0.0 2.7 (1.2–6.1) 1.4 (0.2–10.8) 0.3 (0.1–1.1)
Utah 1.5 (0.6–4.0) 2.6 (1.3–5.3) 2.1 (1.2–3.7)
Vermont 0.7 (0.6–1.0) 2.7 (2.3–3.1) 1.8 (1.6–2.1) 1.7 (1.5–1.9) 1.8 (1.3–2.5) 4.4 (3.2–6.0) 2.6 (2.3–3.0) 5.6 (4.4–7.1) 0.1 (0.1–0.2)
Virginia 1.2 (0.7–2.2) 2.5 (1.4–4.3) 1.9 (1.2–3.1)
West Virginia 1.5 (0.6–3.3) 3.2 (2.0–5.1) 2.5 (1.6–3.8) 2.1 (1.2–3.5) 5.6 (2.2–13.9) 2.1 (0.5–8.1) 2.9 (1.7–5.0) 9.6 (3.8–22.1) 0.3 (0.1–0.8)
Wisconsin 0.4 (0.1–1.2) 3.5 (2.0–6.2) 2.1 (1.3–3.6) 2.0 (1.2–3.4) 0.5 (0.1–3.7) 6.6 (2.2–18.5) 4.0 (2.3–6.9) 0.9 (0.1–7.0) 0.4 (0.1–2.1)
Median 0.9 2.7 1.9 2.0 2.4 3.6 3.3 5.0 0.3
Range 0.0–3.6 1.2–5.9 0.9–4.0 0.8–3.7 0.0–6.2 0.0–10.2 0.7–6.4 0.9–11.7 0.0–1.1
Large urban school district surveys
Baltimore, MD 0.2 (0.0–1.2) 0.0 0.1 (0.0–0.6) 0.1 (0.0–1.0) 0.0 0.0 0.0 0.0 0.3 (0.0–1.9)
Boston, MA 0.1 (0.0–0.8) 0.3 (0.1–1.3) 0.3 (0.1–1.0) 0.2 (0.1–0.7) 0.9 (0.1–6.2) 0.3 (0.0–2.6) 0.3 (0.1–1.2) 1.4 (0.2–9.3) 0.0
Broward County, FL 1.0 (0.1–7.4) 2.5 (0.8–7.7) 1.8 (0.8–4.0) 1.9 (1.0–3.5) 0.0 0.0 3.2 (1.6–6.2) 2.8 (0.4–19.2) 0.0
Chicago, IL 0.3 (0.1–0.9) 0.7 (0.2–2.0) 0.5 (0.3–0.8) 0.6 (0.3–1.0) 0.0 0.0 1.0 (0.4–2.2) 0.7 (0.1–5.7) 0.1 (0.0–0.9)
Cleveland, OH 0.7 (0.2–2.1) 1.0 (0.5–2.2) 0.9 (0.5–1.5) 0.7 (0.3–1.4) 2.5 (0.8–7.7) 0.0 0.9 (0.3–2.3) 2.6 (0.8–8.3) 0.0
DeKalb County, GA 0.2 (0.0–0.8) 0.9 (0.3–2.2) 0.5 (0.2–1.2) 0.6 (0.2–1.4) 0.1 (0.0–0.8) 0.0 1.1 (0.4–2.7) 1.1 (0.3–4.7) 0.0
Detroit, MI 0.1 (0.0–1.0) 0.2 (0.0–1.7) 0.2 (0.1–0.8) 0.1 (0.0–1.0) 0.3 (0.0–2.1) 0.0 0.3 (0.0–2.1) 0.0 0.0
District of Columbia 0.3 (0.2–0.5) 0.8 (0.5–1.1) 0.5 (0.4–0.7) 0.4 (0.2–0.6) 0.8 (0.4–1.4) 2.6 (1.3–5.3) 0.5 (0.3–0.8) 1.6 (0.9–2.6) 0.0
Duval County, FL 0.7 (0.4–1.1) 1.5 (1.0–2.4) 1.2 (0.8–1.7) 0.6 (0.4–1.0) 2.4 (1.3–4.4) 3.3 (1.3–8.4) 1.2 (0.7–2.0) 3.7 (2.0–6.8) 0.1 (0.0–0.4)
Ft. Worth, TX 0.5 (0.2–1.2) 1.8 (1.1–2.7) 1.2 (0.8–1.8) 1.2 (0.7–1.9) 1.4 (0.5–3.8) 0.5 (0.1–3.5) 2.0 (1.2–3.4) 3.4 (1.2–8.9) 0.3 (0.1–0.9)
Houston, TX 0.7 (0.4–1.3) 1.8 (1.1–2.9) 1.3 (0.8–1.9) 1.1 (0.7–1.7) 0.6 (0.1–2.5) 3.6 (0.8–14.6) 2.0 (1.2–3.4) 5.6 (2.7–11.4) 0.1 (0.0–0.5)
Los Angeles, CA 0.7 (0.2–2.6) 0.8 (0.3–1.9) 0.8 (0.3–1.9) 0.6 (0.2–1.6) 3.2 (0.5–17.1) 2.0 (0.2–15.9) 0.8 (0.2–2.9) 5.9 (1.5–20.1) 0.2 (0.0–1.5)
Miami-Dade County, FL 0.3 (0.1–0.9) 1.2 (0.7–2.0) 0.7 (0.4–1.2) 0.4 (0.2–0.9) 1.7 (0.5–5.5) 4.7 (1.1–17.8) 0.6 (0.2–1.6) 3.0 (0.9–9.7) 0.1 (0.0–0.9)
New York City, NY 1.2 (0.9–1.7) 2.4 (2.0–3.0) 1.9 (1.6–2.2) 1.6 (1.3–2.0) 2.7 (1.7–4.2) 2.6 (1.9–3.5) 3.4 (2.7–4.4) 5.0 (3.3–7.6) 0.5 (0.4–0.8)
Oakland, CA 0.5 (0.2–1.4) 0.6 (0.2–1.4) 0.5 (0.3–1.0) 0.5 (0.2–1.1) 0.6 (0.1–3.8) 1.2 (0.2–8.5) 0.7 (0.2–1.9) 0.7 (0.1–5.1) 0.1 (0.0–0.8)
Orange County, FL 1.1 (0.5–2.4) 1.9 (1.0–3.6) 1.5 (0.9–2.5) 1.0 (0.5–2.0) 2.4 (0.6–9.6) 7.0 (2.2–20.3) 2.2 (1.0–4.9) 4.8 (1.9–11.7) 0.3 (0.0–2.1)
Palm Beach County, FL 1.2 (0.6–2.4) 1.6 (0.9–2.6) 1.4 (0.9–2.1) 0.8 (0.5–1.5) 3.4 (1.4–8.0) 5.1 (1.8–13.2) 1.8 (1.0–3.3) 7.4 (3.4–15.5) 0.2 (0.0–1.2)
Philadelphia, PA 0.1 (0.0–0.7) 0.0 0.1 (0.0–0.3) 0.0 0.0 0.8 (0.1–5.6) 0.1 (0.0–0.9) 0.3 (0.0–2.2) 0.0
San Diego, CA 0.2 (0.1–1.0) 1.1 (0.5–2.2) 0.7 (0.4–1.3) 0.8 (0.4–1.5) 0.6 (0.1–2.4) 0.0 0.8 (0.3–1.7) 3.7 (1.1–12.3) 0.1 (0.0–0.4)
San Francisco, CA 0.7 (0.3–1.6) 0.6 (0.3–1.4) 0.7 (0.4–1.3) 0.6 (0.3–1.2) 1.0 (0.3–3.7) 0.8 (0.2–4.0) 0.8 (0.4–1.9) 4.1 (1.4–11.6) 0.2 (0.0–0.6)
Shelby County, TN 0.0 0.4 (0.1–1.2) 0.2 (0.1–0.6) 0.0 0.1 (0.0–0.4) 1.9 (0.2–13.0) 0.2 (0.0–1.1) 0.4 (0.1–2.7) 0.0
Median 0.5 0.9 0.7 0.6 0.8 0.8 0.8 2.8 0.1
Range 0.0–1.2 0.0–2.5 0.1–1.9 0.0–1.9 0.0–3.4 0.0–7.0 0.0–3.4 0.0–7.4 0.0–0.5

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, on all 30 days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 72. Percentage of high school students who usually got their own electronic vapor products by buying them in a store,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 10.8 (7.1–16.0) 15.6 (11.6–20.7) 13.6 (10.3–17.6)
Race/Ethnicity
White§ 12.3 (7.0–20.6) 16.5 (11.6–23.0) 14.8 (10.6–20.1)
Black§ 14.5 (8.1–24.5)
Hispanic 8.3 (3.7–17.7) 12.8 (7.0–22.5) 10.8 (6.4–17.5)
Grade
9 6.7 (3.3–13.1) 10.0 (6.1–16.2) 8.7 (5.4–13.6)
10 10.8 (4.6–23.4) 12.3 (7.5–19.5) 11.6 (7.1–18.5)
11 9.9 (5.1–18.5) 17.9 (11.9–26.0) 14.3 (9.8–20.3)
12 25.3 (16.2–37.3) 22.9 (16.0–31.5)
Sexual identity
Heterosexual (straight) 9.7 (6.5–14.2) 16.5 (12.3–21.8) 14.1 (10.7–18.3)
Gay, lesbian, or bisexual 12.0 (5.3–24.7) 5.4 (1.5–17.4) 10.5 (4.9–20.9)
Not sure 21.3 (11.1–37.1)
Sex of sexual contacts
Opposite sex only 12.8 (7.8–20.3) 16.8 (12.1–23.0) 15.5 (11.5–20.5)
Same sex only or both sexes 8.7 (4.4–16.4) 7.5 (4.1–13.4)
No sexual contact 8.3 (3.7–17.5) 12.5 (6.7–22.2) 10.7 (6.7–16.7)

* Such as a convenience store, supermarket, discount store, gas station, or vape store, including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, during the 30 days before the survey, among the 8.7% of students nationwide who currently used electronic vapor products and who were aged <18 years.
95% confidence interval.
§ Non-Hispanic.
Not available.

TABLE 73. Percentage of high school students who usually got their own electronic vapor products by buying them in a store,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska § 9.6 (5.5–16.1)
Arizona
Arkansas 26.7 (19.1–36.1) 25.7 (17.0–36.9) 28.3 (16.8–43.6)
California 10.2 (4.3–22.4) 9.3 (4.9–16.8) 9.8 (5.1–18.2) 12.4 (7.0–21.1) 0.0
Colorado
Connecticut
Delaware 6.2 (2.8–13.2) 19.8 (12.7–29.6) 13.7 (9.1–20.1) 15.6 (10.3–22.9) 4.9 (1.4–15.9) 16.5 (10.6–24.8) 4.4 (0.9–18.6) 7.3 (1.2–34.2)
Florida
Hawaii
Idaho
Illinois 10.8 (6.3–17.7) 24.4 (14.3–38.4) 18.1 (12.0–26.5) 18.5 (10.5–30.5) 13.6 (6.8–25.4) 18.4 (12.4–26.4) 5.9 (1.3–23.0) 13.9 (4.8–34.0)
Iowa 2.3 (0.2–19.6) 6.1 (1.2–25.7)
Kansas
Kentucky 16.1 (8.0–29.9) 14.0 (8.2–22.9) 14.2 (7.5–25.2) 3.5 (0.8–13.0) 16.2 (8.3–29.1) 12.1 (3.7–33.1)
Louisiana 15.9 (8.1–28.9)
Maine 4.1 (2.8–5.8) 7.9 (6.4–9.7) 6.3 (5.4–7.5) 5.7 (4.5–7.0) 7.6 (4.2–13.1) 15.7 (7.9–28.9) 5.3 (3.7–7.5) 12.1 (8.7–16.6) 2.1 (0.5–7.9)
Maryland 8.8 (7.4–10.5) 17.0 (15.3–18.8) 13.3 (12.1–14.6) 11.5 (10.3–12.8) 17.5 (14.4–21.1) 13.9 (9.4–20.0)
Massachusetts
Michigan 11.5 (5.4–22.9) 12.6 (5.1–27.9) 14.3 (5.5–32.4)
Missouri 13.2 (7.9–21.4)
Montana 3.8 (2.1–6.6) 8.7 (6.0–12.5) 6.7 (4.8–9.3)
Nebraska 8.1 (3.2–18.7) 4.4 (1.2–15.0) 4.8 (1.0–20.0)
Nevada 12.1 (6.3–21.9) 13.1 (8.3–20.2) 13.3 (8.7–19.8) 11.8 (3.7–31.6) 12.7 (6.9–22.5) 11.7 (3.7–31.4)
New Hampshire 6.0 (3.5–10.2) 13.5 (10.4–17.2) 10.3 (8.0–13.2) 10.9 (8.4–14.2) 5.6 (2.8–11.0) 13.1 (6.6–24.2) 10.6 (7.9–14.1) 10.7 (6.5–17.1) 8.6 (4.8–15.0)
New Mexico
New York
North Carolina
North Dakota 3.0 (1.2–7.4) 8.6 (4.7–15.2) 6.0 (3.5–10.1) 5.5 (2.9–10.1) 5.7 (1.9–16.0)
Oklahoma 12.3 (6.8–21.3) 10.3 (6.4–16.0) 12.2 (7.5–19.1) 4.3 (1.0–16.9) 12.3 (7.4–19.7) 5.7 (1.7–17.6)
Pennsylvania 13.2 (6.3–25.6) 12.2 (6.8–20.9) 12.5 (8.5–18.0) 13.5 (9.1–19.7) 6.7 (1.9–21.3) 16.3 (10.7–23.9) 4.6 (0.8–22.8) 0.0
Rhode Island 12.9 (7.7–20.7) 20.3 (12.4–31.4) 17.2 (12.0–23.9) 18.3 (12.6–25.8) 9.5 (3.2–24.9) 19.0 (10.5–31.8) 14.8 (6.1–31.7) 12.1 (5.3–25.3)
South Carolina 10.6 (4.4–23.3) 10.4 (3.6–26.2) 11.3 (4.7–24.8)
Tennessee 7.7 (3.6–15.7)
Texas 10.6 (4.2–24.2) 9.6 (3.5–23.5) 9.3 (3.3–23.5)
Utah 9.6 (5.0–17.7)
Vermont 5.0 (3.5–7.0) 9.4 (7.8–11.4) 7.8 (6.7–9.2) 7.7 (6.4–9.3) 7.0 (4.3–11.3) 13.1 (6.7–24.1) 7.9 (6.6–9.6) 8.0 (5.3–12.0) 1.4 (0.4–5.4)
Virginia 4.8 (1.7–12.7) 16.8 (10.0–26.8) 11.1 (7.3–16.4)
West Virginia 13.8 (7.6–23.6) 10.1 (6.1–16.3) 8.7 (5.4–13.8) 9.7 (5.9–15.4)
Wisconsin
Median 6.1 13.5 10.6 11.2 6.9 12.4 8.0 7.3
Range 3.0–13.2 7.9–24.4 6.0–26.7 2.3–25.7 3.5–17.5 4.8–28.3 4.4–14.8 0.0–13.9
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL 19.7 (9.7–36.1)
Chicago, IL 14.9 (7.9–26.4) 10.5 (3.4–28.2)
Cleveland, OH
DeKalb County, GA 27.8 (16.9–42.1) 30.9 (18.6–46.7)
Detroit, MI
District of Columbia
Duval County, FL 12.5 (8.6–17.9) 14.4 (8.8–22.9) 7.7 (2.9–18.7) 12.8 (7.2–21.8) 10.1 (4.9–19.8)
Ft. Worth, TX 20.4 (14.6–27.8) 19.8 (12.9–29.2) 26.1 (13.2–45.1) 17.5 (10.4–27.9)
Houston, TX 23.6 (16.2–33.2) 26.5 (17.6–37.9) 28.0 (17.3–41.9) 14.6 (6.3–30.2)
Los Angeles, CA
Miami-Dade County, FL 18.4 (12.0–27.2) 21.9 (13.9–32.7) 13.7 (8.2–22.2) 20.1 (8.8–39.5)
New York City, NY
Oakland, CA
Orange County, FL 9.8 (4.2–21.4) 11.9 (5.2–25.0)
Palm Beach County, FL 23.3 (17.1–31.0) 24.1 (16.7–33.4) 26.3 (17.8–37.1)
Philadelphia, PA 22.6 (9.6–44.5)
San Diego, CA 10.5 (4.6–22.2) 10.3 (3.9–24.5) 12.0 (4.5–28.2)
San Francisco, CA 13.6 (8.8–20.4) 13.9 (8.5–22.1) 11.7 (5.8–22.2) 7.0 (1.8–23.7)
Shelby County, TN 25.0 (12.5–43.8) 28.3 (12.6–52.1)
Median 18.4 19.8 13.7
Range 10.5–23.6 9.8–27.8 10.5–30.9

* Such as a convenience store, supermarket, discount store, gas station, or vape store, including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens, during the 30 days before the survey, among students who currently used electronic vapor products and who were aged <18 years.
95% confidence interval.
§ Not available.

TABLE 74. Percentage of high school students who currently used smokeless tobacco,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 1.9 (1.4–2.6) 8.9 (7.3–11.0) 5.5 (4.4–6.7)
Race/Ethnicity
White§ 2.1 (1.3–3.3) 11.9 (9.3–15.0) 6.8 (5.3–8.7)
Black§ 1.8 (1.0–3.2) 5.0 (3.5–7.0) 3.5 (2.5–5.1)
Hispanic 1.8 (1.1–2.9) 5.6 (3.8–8.1) 3.7 (2.8–5.0)
Grade
9 1.5 (0.9–2.6) 6.8 (4.8–9.4) 4.1 (3.0–5.6)
10 1.8 (1.1–2.9) 7.5 (5.6–9.9) 4.6 (3.5–5.9)
11 1.5 (0.9–2.5) 9.7 (7.5–12.5) 5.7 (4.4–7.2)
12 2.7 (1.7–4.3) 12.0 (9.2–15.5) 7.2 (5.7–9.1)
Sexual identity
Heterosexual (straight) 1.4 (0.9–2.1) 9.0 (7.1–11.3) 5.5 (4.4–6.9)
Gay, lesbian, or bisexual 4.0 (2.9–5.5) 11.1 (6.6–18.1) 5.9 (4.3–8.0)
Not sure 3.8 (1.6–9.1) 8.0 (4.3–14.5) 6.3 (3.8–10.4)
Sex of sexual contacts
Opposite sex only 2.6 (1.8–3.7) 14.6 (11.6–18.1) 9.2 (7.4–11.3)
Same sex only or both sexes 6.1 (4.1–8.8) 14.5 (9.0–22.6) 8.2 (6.1–10.9)
No sexual contact 0.4 (0.2–0.8) 2.9 (1.8–4.4) 1.6 (1.1–2.3)

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 75. Percentage of high school students who currently used smokeless tobacco,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 5.9 (3.5–9.8) 11.7 (8.0–16.8) 9.0 (6.1–12.9) §
Arizona 2.1 (1.3–3.6) 6.9 (4.6–10.2) 4.6 (3.2–6.6) 4.0 (2.4–6.4) 7.3 (3.8–13.8) 6.3 (1.4–23.9)
Arkansas 6.1 (3.0–11.9) 17.9 (13.9–22.6) 12.7 (10.1–15.8) 10.3 (8.2–12.8) 18.9 (8.8–36.1) 21.3 (9.0–42.4) 16.7 (12.9–21.3) 13.2 (8.0–21.2) 2.6 (1.4–4.8)
California 0.9 (0.3–3.0) 3.9 (2.8–5.4) 2.8 (1.9–4.2) 2.6 (1.8–3.6) 3.4 (1.3–8.4) 4.1 (0.8–17.5) 3.0 (2.0–4.6) 7.4 (3.2–16.5) 0.6 (0.1–4.4)
Colorado
Connecticut
Delaware 1.4 (0.8–2.5) 5.5 (4.1–7.2) 3.5 (2.7–4.4) 3.4 (2.5–4.6) 2.8 (1.2–6.1) 10.1 (4.9–19.7) 5.0 (3.6–6.8) 8.2 (4.0–16.2) 0.7 (0.2–2.2)
Florida
Hawaii
Idaho 2.1 (1.1–3.9) 7.3 (5.4–9.7) 4.7 (3.4–6.5)
Illinois 3.0 (2.2–4.1) 7.6 (5.2–11.0) 5.6 (3.9–7.9) 4.4 (3.1–6.1) 10.6 (7.6–14.6) 7.8 (3.5–16.8) 7.0 (4.9–10.1) 16.9 (12.1–23.1) 1.0 (0.5–2.0)
Iowa 2.9 (1.7–4.9) 9.1 (5.8–14.2) 6.2 (4.2–9.3) 5.7 (3.4–9.4) 11.2 (5.3–22.0) 6.0 (1.1–27.0) 7.8 (4.5–13.3) 13.4 (4.2–35.3) 2.7 (1.2–6.2)
Kansas 1.3 (0.7–2.4) 9.1 (7.3–11.1) 5.3 (4.3–6.4)
Kentucky 3.1 (1.8–5.3) 17.2 (14.0–20.9) 10.6 (8.9–12.6) 10.9 (9.0–13.1) 8.3 (4.5–14.6) 8.8 (3.7–19.6) 16.7 (13.6–20.4) 8.6 (4.8–15.0) 3.4 (2.2–5.3)
Louisiana 5.0 (2.9–8.6) 15.8 (11.6–21.1) 10.7 (8.1–14.2)
Maine 1.8 (1.4–2.3) 7.7 (6.7–8.8) 5.0 (4.3–5.7) 4.6 (4.0–5.4) 4.9 (3.6–6.5) 10.1 (7.4–13.7) 6.8 (5.9–7.8) 10.8 (8.7–13.4) 0.8 (0.5–1.2)
Maryland 3.2 (2.9–3.5) 8.3 (7.8–8.9) 6.2 (5.8–6.6) 4.2 (3.9–4.5) 12.7 (11.3–14.1) 10.1 (8.5–12.0)
Massachusetts 2.2 (1.6–3.1) 7.3 (5.7–9.3) 4.8 (3.9–5.8) 4.6 (3.8–5.7) 3.4 (1.7–6.7) 6.7 (2.7–15.5) 8.0 (6.3–10.2) 6.8 (3.5–12.8) 0.9 (0.5–1.6)
Michigan 1.9 (1.2–2.9) 10.4 (7.5–14.4) 6.3 (4.7–8.5) 5.7 (4.0–8.0) 9.0 (4.0–18.8) 11.4 (4.3–26.8) 9.3 (6.2–13.6) 15.8 (8.7–27.1) 1.6 (0.8–3.2)
Missouri 3.7 (2.4–5.8) 8.1 (5.9–10.9) 6.1 (4.5–8.1)
Montana 5.3 (3.9–7.2) 13.8 (12.1–15.6) 9.8 (8.5–11.2)
Nebraska 1.6 (1.0–2.7) 8.3 (6.1–11.1) 5.3 (4.0–7.0) 5.0 (3.6–6.8) 7.3 (3.4–14.9) 5.4 (1.7–15.8) 9.0 (6.5–12.3) 7.8 (3.3–17.5) 1.8 (0.9–3.3)
Nevada 1.6 (0.8–3.3) 3.8 (2.3–6.1) 3.0 (1.9–4.5) 2.1 (1.3–3.4) 4.9 (2.2–10.5) 8.3 (2.5–24.4) 4.3 (2.5–7.2) 6.2 (3.0–12.2) 0.5 (0.1–1.8)
New Hampshire
New Mexico 4.4 (3.3–5.7) 11.8 (9.8–14.1) 8.2 (7.1–9.4) 6.6 (5.5–7.9) 14.3 (10.1–19.9) 20.3 (14.5–27.8) 10.9 (9.1–13.1) 26.9 (21.4–33.3) 2.1 (1.4–3.2)
New York 2.5 (1.8–3.6) 5.9 (4.4–7.8) 4.6 (3.6–6.0) 2.7 (2.0–3.7) 11.9 (8.4–16.5) 10.8 (7.9–14.7) 6.6 (4.6–9.5) 16.6 (10.9–24.5) 0.4 (0.2–0.7)
North Carolina
North Dakota 2.7 (1.9–3.9) 12.8 (10.7–15.3) 8.0 (6.8–9.5) 8.3 (7.0–9.8) 6.6 (4.7–9.3) 6.6 (2.6–15.8)
Oklahoma 2.7 (1.5–5.0) 15.2 (12.3–18.6) 9.2 (7.6–11.1) 9.0 (7.3–11.1) 12.9 (6.7–23.5) 7.9 (2.0–27.1) 14.3 (11.7–17.5) 15.7 (7.6–29.9) 2.5 (1.5–4.2)
Pennsylvania 2.0 (1.4–2.8) 9.7 (7.4–12.5) 6.0 (4.8–7.5) 6.1 (4.7–7.8) 5.8 (3.5–9.7) 3.9 (1.6–9.1) 9.2 (6.9–12.1) 9.5 (5.8–15.4) 1.9 (1.1–3.1)
Rhode Island 1.1 (0.4–2.9) 8.0 (5.2–12.3) 5.0 (3.4–7.4) 3.7 (2.2–6.1) 6.0 (2.1–16.3) 21.2 (10.8–37.5) 7.1 (4.1–12.2) 10.6 (5.6–19.2) 0.2 (0.0–1.5)
South Carolina 2.3 (1.1–4.8) 13.7 (10.8–17.2) 8.4 (6.4–10.8) 7.4 (5.3–10.4) 10.3 (6.6–15.6) 7.5 (4.3–12.8) 11.5 (7.9–16.5) 9.7 (5.4–16.5) 1.9 (0.9–4.2)
Tennessee 2.4 (1.7–3.5) 11.6 (8.9–15.0) 7.3 (5.8–9.2)
Texas 2.4 (1.5–3.7) 7.9 (6.0–10.2) 5.4 (4.3–6.6) 5.2 (4.1–6.6) 5.0 (2.3–10.9) 3.8 (1.0–13.2) 8.1 (6.1–10.6) 7.4 (3.7–14.5) 1.2 (0.6–2.6)
Utah 1.0 (0.5–2.2) 4.5 (2.6–7.6) 3.0 (1.8–5.0)
Vermont 1.7 (1.4–2.0) 8.3 (7.8–8.9) 5.2 (4.9–5.5) 5.2 (4.9–5.5) 4.2 (3.4–5.2) 7.5 (5.9–9.5) 7.9 (7.4–8.5) 9.2 (7.7–11.0) 0.8 (0.7–1.0)
Virginia 1.1 (0.7–1.7) 7.0 (5.7–8.6) 4.2 (3.6–4.9)
West Virginia 2.8 (1.9–3.9) 19.3 (15.4–23.8) 11.5 (9.2–14.3) 11.3 (8.9–14.3) 9.6 (4.5–19.4) 15.1 (6.4–31.5) 18.7 (15.2–22.8) 11.6 (6.4–20.0) 1.7 (0.9–3.1)
Wisconsin 1.8 (0.8–3.9) 9.8 (7.2–13.4) 5.9 (4.2–8.3) 5.4 (3.8–7.7) 7.1 (3.4–14.1) 8.4 (3.8–17.6) 8.6 (5.7–12.7) 12.8 (6.1–24.6) 2.0 (1.1–3.4)
Median 2.3 8.3 5.9 5.2 7.3 8.1 8.1 10.6 1.6
Range 0.9–6.1 3.8–19.3 2.8–12.7 2.1–11.3 2.8–18.9 3.8–21.3 3.0–18.7 6.2–26.9 0.2–3.4
Large urban school district surveys
Baltimore, MD 3.7 (2.2–6.2) 7.5 (4.5–12.4) 5.8 (3.8–8.5) 2.8 (1.8–4.3) 12.5 (7.1–21.1) 6.0 (1.5–20.8) 3.7 (1.9–7.2) 17.4 (8.5–32.4) 0.1 (0.0–0.6)
Boston, MA 0.9 (0.4–2.0) 3.7 (2.3–5.7) 2.4 (1.6–3.5) 2.2 (1.4–3.4) 3.8 (1.3–10.6) 2.1 (0.5–8.2) 2.6 (1.4–4.7) 6.2 (3.1–11.8) 0.2 (0.0–1.4)
Broward County, FL 1.1 (0.4–3.5) 6.4 (3.5–11.5) 3.9 (2.3–6.5) 3.1 (1.7–5.6) 8.8 (3.0–22.8) 2.8 (0.6–11.9) 3.6 (1.5–8.0) 12.0 (4.9–26.6) 0.5 (0.1–2.3)
Chicago, IL 2.6 (1.1–5.8) 5.7 (3.8–8.4) 4.5 (2.8–7.1) 2.3 (1.6–3.4) 10.6 (5.1–20.8) 10.0 (4.5–21.0) 3.1 (1.9–5.0) 15.8 (10.4–23.2) 0.4 (0.1–1.6)
Cleveland, OH
DeKalb County, GA 1.3 (0.6–2.7) 5.3 (3.8–7.3) 3.4 (2.6–4.3) 2.2 (1.5–3.2) 6.9 (3.7–12.4) 8.3 (3.8–17.1) 3.5 (2.3–5.3) 9.7 (5.5–16.6) 0.9 (0.3–2.5)
Detroit, MI 2.0 (1.3–3.1) 4.7 (2.6–8.3) 3.4 (2.3–5.2) 1.9 (1.1–3.4) 8.2 (4.8–13.8) 2.6 (0.4–14.2) 2.4 (1.4–4.2) 8.2 (4.9–13.5) 0.6 (0.2–1.8)
District of Columbia
Duval County, FL 3.2 (2.3–4.4) 7.5 (6.0–9.3) 5.9 (4.8–7.1) 2.3 (1.8–3.0) 13.0 (9.2–18.0) 16.0 (10.4–23.8) 4.9 (3.8–6.3) 10.4 (7.4–14.4) 0.1 (0.0–0.5)
Ft. Worth, TX 1.6 (1.0–2.4) 4.3 (3.2–5.6) 3.2 (2.5–4.0) 2.4 (1.8–3.1) 7.2 (4.6–11.1) 5.4 (2.6–11.1) 4.2 (3.2–5.6) 6.9 (3.7–12.6) 0.4 (0.2–0.9)
Houston, TX 2.9 (2.2–3.9) 4.5 (3.4–5.8) 3.9 (3.1–4.9) 2.6 (1.9–3.5) 8.2 (5.6–11.9) 9.2 (5.4–15.2) 4.4 (3.2–5.9) 12.9 (8.6–19.0) 0.7 (0.4–1.4)
Los Angeles, CA 2.0 (1.2–3.4) 1.6 (0.7–3.6) 1.9 (1.1–3.3) 1.6 (0.9–2.9) 5.7 (1.7–17.0) 1.7 (0.2–13.3) 2.1 (0.9–5.2) 10.8 (5.5–20.3) 0.6 (0.2–1.5)
Miami-Dade County, FL 2.0 (1.3–3.0) 4.4 (3.0–6.5) 3.6 (2.6–4.9) 2.2 (1.6–2.9) 9.2 (5.5–14.9) 16.1 (8.7–27.7) 3.3 (2.1–5.3) 10.0 (5.2–18.3) 0.8 (0.4–1.8)
New York City, NY 2.4 (1.9–3.1) 4.9 (3.9–6.0) 4.0 (3.4–4.8) 2.3 (1.9–2.8) 9.9 (7.2–13.3) 7.9 (6.4–9.7) 4.3 (3.5–5.3) 14.7 (11.2–19.1) 0.5 (0.3–0.8)
Oakland, CA 2.8 (1.9–4.1) 4.8 (3.4–6.8) 4.0 (3.1–5.3) 3.8 (2.8–5.0) 5.3 (2.1–12.9) 2.8 (0.9–8.6) 4.5 (3.0–6.7) 10.8 (6.4–17.7) 1.0 (0.4–2.2)
Orange County, FL 1.2 (0.6–2.4) 4.2 (2.7–6.5) 2.9 (2.0–4.4) 1.8 (1.1–3.0) 6.3 (2.6–14.2) 8.1 (2.9–20.3) 3.6 (2.1–6.1) 8.1 (3.8–16.4) 0.6 (0.2–2.0)
Palm Beach County, FL 2.5 (1.7–3.7) 5.5 (3.9–7.6) 4.3 (3.3–5.5) 2.1 (1.4–3.1) 13.8 (9.5–19.5) 16.4 (10.2–25.4) 4.1 (2.7–6.3) 16.3 (11.6–22.4) 0.7 (0.3–1.6)
Philadelphia, PA 0.9 (0.3–2.4) 3.7 (2.1–6.5) 2.3 (1.2–4.2) 1.2 (0.5–2.8) 7.3 (3.6–14.2) 5.0 (1.1–20.1) 1.5 (0.6–3.5) 11.5 (5.5–22.7) 0.0
San Diego, CA 1.5 (1.0–2.3) 2.5 (1.7–3.8) 2.1 (1.6–2.8) 1.9 (1.3–2.7) 2.9 (1.4–5.9) 3.4 (1.6–7.3) 3.3 (2.2–4.8) 4.7 (1.8–11.6) 0.3 (0.1–0.8)
San Francisco, CA
Shelby County, TN 2.4 (1.6–3.4) 5.7 (4.2–7.7) 4.7 (3.6–6.0) 2.4 (1.7–3.4) 10.7 (7.3–15.4) 15.9 (8.9–26.8) 3.2 (2.2–4.6) 11.3 (7.2–17.3) 0.2 (0.1–0.7)
Median 2.0 4.7 3.7 2.3 8.2 7.0 3.5 10.8 0.5
Range 0.9–3.7 1.6–7.5 1.9–5.9 1.2–3.8 2.9–13.8 1.7–16.4 1.5–4.9 4.7–17.4 0.0–1.0

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel Snus, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 76. Percentage of high school students who currently frequently used smokeless tobacco,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 0.4 (0.2–0.7) 3.7 (2.6–5.2) 2.1 (1.5–2.8)
Race/Ethnicity
White§ 0.5 (0.2–1.0) 5.5 (3.7–8.0) 2.9 (2.0–4.2)
Black§ 0.2 (0.0–0.5) 1.5 (0.8–2.8) 0.9 (0.5–1.5)
Hispanic 0.3 (0.1–0.9) 1.6 (0.9–2.8) 1.0 (0.6–1.6)
Grade
9 0.2 (0.1–0.7) 1.6 (0.9–3.0) 0.9 (0.6–1.6)
10 0.3 (0.1–0.9) 3.2 (2.1–4.7) 1.7 (1.1–2.5)
11 0.0 4.0 (2.6–6.1) 2.0 (1.3–3.1)
12 0.8 (0.3–2.0) 6.1 (3.8–9.7) 3.4 (2.2–5.3)
Sexual identity
Heterosexual (straight) 0.3 (0.1–0.5) 3.7 (2.5–5.3) 2.1 (1.5–3.0)
Gay, lesbian, or bisexual 0.4 (0.1–1.4) 2.7 (1.2–6.0) 1.0 (0.5–2.0)
Not sure 1.8 (0.4–8.6) 5.4 (2.2–13.0) 4.1 (1.9–8.8)
Sex of sexual contacts
Opposite sex only 0.4 (0.1–1.0) 6.5 (4.6–9.1) 3.8 (2.7–5.2)
Same sex only or both sexes 1.8 (0.7–4.5) 9.0 (4.1–18.7) 3.6 (2.0–6.4)
No sexual contact 0.1 (0.0–0.4) 0.6 (0.2–1.7) 0.3 (0.1–0.8)

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 77. Percentage of high school students who currently frequently used smokeless tobacco,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 2.4 (1.0–5.9) 4.1 (2.1–7.9) 3.3 (1.7–6.5) §
Arizona 0.3 (0.1–1.4) 1.6 (0.5–4.3) 0.9 (0.4–2.2) 1.0 (0.4–2.5) 0.6 (0.1–5.4) 0.3 (0.0–2.4)
Arkansas 1.4 (0.7–2.8) 7.4 (4.7–11.4) 4.6 (3.4–6.3) 3.5 (2.2–5.5) 7.8 (2.8–20.0) 8.5 (1.9–30.5) 7.3 (4.6–11.5) 4.7 (1.3–15.2) 1.7 (0.7–4.4)
California 0.0 0.6 (0.2–1.9) 0.6 (0.3–1.2) 0.4 (0.1–1.1) 1.2 (0.1–8.9) 4.1 (0.8–17.5) 0.2 (0.0–1.7) 1.4 (0.2–10.2) 0.2 (0.0–1.4)
Colorado
Connecticut
Delaware 0.4 (0.2–0.9) 2.8 (1.8–4.5) 1.6 (1.1–2.5) 1.5 (1.0–2.3) 2.0 (0.7–5.4) 6.9 (2.3–18.9) 2.0 (1.1–3.6) 6.7 (2.8–15.2) 0.2 (0.1–0.9)
Florida
Hawaii
Idaho 0.5 (0.2–1.4) 2.0 (1.1–3.8) 1.3 (0.7–2.2)
Illinois 0.3 (0.1–1.0) 2.6 (1.0–7.1) 1.6 (0.6–4.1) 1.5 (0.5–4.3) 0.9 (0.2–4.7) 1.1 (0.3–4.6) 2.3 (0.8–6.2) 0.9 (0.3–3.0) 0.4 (0.1–2.0)
Iowa 0.8 (0.2–2.5) 2.0 (0.6–6.4) 1.4 (0.6–3.7) 1.2 (0.4–3.2) 1.8 (0.2–15.3) 3.2 (0.3–29.2) 2.1 (0.6–7.9) 2.8 (0.3–20.5) 0.2 (0.0–1.9)
Kansas 0.2 (0.0–0.6) 2.8 (1.5–5.2) 1.5 (0.9–2.7)
Kentucky 0.9 (0.4–2.1) 8.1 (5.7–11.3) 4.5 (3.2–6.2) 5.0 (3.5–7.0) 2.3 (1.4–3.5) 0.7 (0.2–2.7) 8.1 (5.5–11.6) 2.6 (0.8–8.6) 1.7 (1.0–2.7)
Louisiana 0.9 (0.3–2.3) 5.0 (3.0–8.3) 3.0 (1.9–4.7)
Maine 0.4 (0.2–0.7) 2.6 (1.9–3.3) 1.6 (1.2–2.0) 1.4 (1.0–1.8) 1.1 (0.6–2.0) 5.3 (3.7–7.5) 2.2 (1.6–3.1) 3.8 (2.6–5.7) 0.2 (0.1–0.4)
Maryland 0.5 (0.4–0.6) 1.7 (1.5–1.9) 1.1 (1.0–1.3) 0.8 (0.7–0.9) 1.6 (1.3–2.0) 2.9 (2.2–3.9)
Massachusetts 0.1 (0.0–0.3) 1.5 (0.8–2.9) 0.8 (0.4–1.5) 0.7 (0.3–1.3) 0.7 (0.2–2.3) 3.2 (0.9–10.3) 1.5 (0.8–3.0) 0.9 (0.3–2.7) 0.1 (0.0–0.5)
Michigan 0.9 (0.5–1.7) 3.4 (1.9–6.2) 2.2 (1.2–3.8) 1.8 (0.9–3.4) 3.4 (1.1–10.2) 6.8 (2.1–19.6) 2.9 (1.8–4.5) 7.8 (3.0–18.8) 0.6 (0.1–2.6)
Missouri 1.0 (0.5–2.1) 3.5 (2.1–5.6) 2.4 (1.6–3.5)
Montana 0.8 (0.5–1.4) 5.5 (4.6–6.7) 3.2 (2.7–4.0)
Nebraska 0.2 (0.0–0.7) 2.5 (1.5–4.2) 1.5 (0.9–2.4) 1.6 (0.9–2.7) 0.0 0.0 3.1 (1.8–5.3) 1.6 (0.4–6.8) 0.1 (0.0–0.6)
Nevada 0.2 (0.0–1.7) 1.0 (0.4–2.3) 0.8 (0.4–1.4) 0.6 (0.3–1.4) 0.8 (0.1–6.1) 2.5 (0.3–18.7) 1.1 (0.5–2.5) 2.2 (0.5–9.0) 0.0
New Hampshire
New Mexico 0.9 (0.5–1.6) 2.9 (1.9–4.3) 1.9 (1.5–2.5) 1.5 (1.0–2.3) 2.3 (1.2–4.1) 7.1 (4.9–10.3) 2.7 (1.8–4.1) 7.1 (4.8–10.3) 0.4 (0.2–1.0)
New York 0.3 (0.1–0.8) 1.5 (1.0–2.3) 0.9 (0.6–1.4) 0.6 (0.3–1.1) 0.8 (0.4–1.8) 2.4 (1.2–4.7) 1.4 (0.8–2.4) 3.1 (2.0–4.8) 0.0
North Carolina
North Dakota 0.3 (0.1–0.9) 4.0 (2.9–5.7) 2.2 (1.6–3.0) 2.4 (1.7–3.4) 0.5 (0.1–2.2) 2.9 (0.6–12.1)
Oklahoma 0.6 (0.2–1.6) 5.9 (4.3–8.0) 3.4 (2.5–4.6) 3.8 (2.8–5.2) 1.3 (0.3–5.4) 0.0 5.5 (4.0–7.5) 3.8 (1.4–9.8) 0.7 (0.3–1.9)
Pennsylvania 0.7 (0.3–1.4) 3.1 (2.0–4.7) 2.0 (1.3–3.0) 2.1 (1.4–3.3) 1.0 (0.2–4.6) 1.1 (0.3–3.8) 3.0 (1.8–5.0) 4.1 (1.7–9.6) 0.6 (0.2–1.7)
Rhode Island 0.3 (0.1–1.3) 2.2 (0.8–5.8) 1.4 (0.6–3.4) 0.9 (0.4–2.3) 0.7 (0.1–4.4) 12.2 (5.0–27.0) 2.0 (0.7–5.5) 4.4 (1.6–11.6) 0.0
South Carolina 0.4 (0.1–1.4) 4.3 (2.6–7.0) 2.5 (1.5–4.1) 2.2 (1.2–4.2) 2.2 (0.6–8.2) 3.9 (0.4–27.4) 3.7 (1.9–7.1) 3.2 (0.8–11.5) 0.2 (0.0–1.2)
Tennessee 0.7 (0.3–1.6) 6.0 (4.3–8.4) 3.5 (2.4–5.0)
Texas 0.2 (0.0–1.2) 2.6 (1.4–4.6) 1.4 (0.8–2.4) 1.5 (0.8–2.8) 0.0 0.0 2.2 (1.2–4.1) 2.2 (0.5–9.1) 0.2 (0.0–1.3)
Utah 0.6 (0.2–1.7) 1.0 (0.5–2.0) 0.9 (0.6–1.4)
Vermont 0.4 (0.3–0.6) 2.9 (2.6–3.1) 1.8 (1.6–1.9) 1.6 (1.4–1.8) 1.4 (1.0–2.1) 4.7 (3.5–6.4) 2.4 (2.1–2.7) 4.9 (3.8–6.2) 0.1 (0.0–0.2)
Virginia 0.3 (0.1–0.7) 2.8 (1.7–4.5) 1.6 (1.0–2.6)
West Virginia 0.5 (0.1–1.7) 11.0 (7.9–15.2) 5.8 (4.1–8.3) 6.0 (4.1–8.7) 3.0 (0.9–9.2) 7.4 (2.0–23.8) 10.3 (7.6–13.9) 4.3 (1.5–11.7) 0.8 (0.2–3.1)
Wisconsin 0.1 (0.0–0.6) 1.8 (1.1–3.0) 1.0 (0.6–1.6) 0.9 (0.5–1.4) 0.3 (0.0–2.7) 3.5 (0.7–15.4) 1.3 (0.8–2.3) 0.6 (0.1–4.5) 0.4 (0.1–1.5)
Median 0.4 2.8 1.6 1.5 1.1 3.2 2.3 3.2 0.2
Range 0.0–2.4 0.6–11.0 0.6–5.8 0.4–6.0 0.0–7.8 0.0–12.2 0.2–10.3 0.6–7.8 0.0–1.7
Large urban school district surveys
Baltimore, MD 0.0 1.1 (0.2–5.5) 0.6 (0.1–2.6) 0.2 (0.0–1.4) 0.0 0.0 0.3 (0.0–2.5) 3.5 (0.5–21.9) 0.0
Boston, MA 0.0 0.7 (0.2–2.2) 0.4 (0.2–1.2) 0.3 (0.1–1.3) 0.9 (0.1–6.0) 0.3 (0.0–2.2) 0.5 (0.1–2.6) 0.6 (0.1–4.2) 0.2 (0.0–1.4)
Broward County, FL 0.0 1.7 (0.6–4.4) 0.8 (0.3–2.3) 0.6 (0.1–2.5) 0.0 1.4 (0.2–10.2) 1.2 (0.3–4.8) 1.5 (0.3–6.0) 0.0
Chicago, IL 0.2 (0.0–0.7) 0.8 (0.4–1.7) 0.6 (0.3–1.3) 0.2 (0.1–0.7) 0.9 (0.2–4.2) 2.2 (0.6–8.5) 0.5 (0.2–1.5) 2.2 (1.1–4.3) 0.0
Cleveland, OH
DeKalb County, GA 0.0 1.1 (0.5–2.5) 0.6 (0.2–1.2) 0.2 (0.1–0.8) 1.6 (0.5–5.4) 3.1 (0.8–11.7) 0.7 (0.3–1.9) 1.9 (0.5–7.6) 0.2 (0.0–1.4)
Detroit, MI 0.0 0.3 (0.1–1.3) 0.3 (0.1–0.8) 0.1 (0.0–0.8) 0.5 (0.1–3.5) 0.0 0.2 (0.0–1.8) 0.6 (0.1–3.7) 0.0
District of Columbia
Duval County, FL 0.4 (0.2–0.8) 2.0 (1.4–2.9) 1.4 (1.0–1.8) 0.9 (0.6–1.4) 2.0 (1.0–4.1) 2.8 (1.1–7.2) 1.3 (0.8–2.2) 2.5 (1.4–4.5) 0.1 (0.0–0.4)
Ft. Worth, TX 0.0 0.9 (0.5–1.6) 0.5 (0.3–0.8) 0.3 (0.2–0.7) 1.4 (0.6–3.4) 0.5 (0.1–3.2) 0.7 (0.3–1.5) 1.8 (0.6–4.8) 0.0
Houston, TX 0.3 (0.1–0.8) 0.6 (0.3–1.4) 0.5 (0.3–1.0) 0.3 (0.1–0.6) 0.0 2.4 (0.6–9.7) 0.3 (0.1–0.9) 2.4 (0.8–7.1) 0.2 (0.0–0.5)
Los Angeles, CA 0.3 (0.0–2.5) 0.7 (0.3–1.8) 0.6 (0.2–1.4) 0.4 (0.2–1.0) 2.9 (0.5–15.4) 0.0 0.5 (0.1–2.4) 5.2 (1.4–17.7) 0.0
Miami-Dade County, FL 0.2 (0.1–0.7) 0.9 (0.5–1.7) 0.7 (0.4–1.1) 0.4 (0.2–0.7) 0.7 (0.2–2.7) 6.3 (2.0–18.1) 0.5 (0.2–1.2) 3.1 (1.1–8.4) 0.0
New York City, NY 0.3 (0.2–0.5) 1.0 (0.6–1.9) 0.8 (0.5–1.1) 0.3 (0.2–0.5) 2.0 (1.0–3.9) 1.8 (1.1–2.8) 0.8 (0.5–1.4) 4.1 (2.3–7.1) 0.0
Oakland, CA 0.5 (0.2–1.4) 0.4 (0.2–1.0) 0.5 (0.2–0.9) 0.4 (0.2–0.9) 1.4 (0.4–4.5) 0.0 0.7 (0.3–1.8) 1.4 (0.3–5.7) 0.1 (0.0–1.1)
Orange County, FL 0.6 (0.2–1.6) 1.3 (0.6–2.7) 1.0 (0.6–1.8) 0.7 (0.3–1.5) 1.7 (0.4–6.9) 1.8 (0.3–11.1) 0.7 (0.2–2.3) 4.8 (2.0–11.2) 0.2 (0.0–1.4)
Palm Beach County, FL 0.2 (0.1–0.8) 1.1 (0.6–2.0) 0.7 (0.4–1.2) 0.3 (0.1–0.7) 2.2 (0.9–5.5) 3.2 (1.2–8.7) 1.0 (0.5–2.0) 3.5 (1.3–9.3) 0.0
Philadelphia, PA 0.2 (0.0–1.6) 0.6 (0.2–1.8) 0.4 (0.2–1.0) 0.1 (0.0–0.7) 1.6 (0.3–7.0) 5.0 (1.1–20.1) 0.0 3.3 (1.0–10.3) 0.0
San Diego, CA 0.1 (0.0–0.5) 0.7 (0.2–2.2) 0.4 (0.2–1.2) 0.5 (0.1–1.4) 0.5 (0.1–2.0) 0.0 0.5 (0.1–2.9) 1.5 (0.2–10.1) 0.1 (0.0–0.4)
San Francisco, CA
Shelby County, TN 0.2 (0.0–1.0) 0.9 (0.4–2.2) 0.5 (0.2–1.2) 0.2 (0.1–0.7) 0.2 (0.0–1.6) 0.1 (0.0–0.8) 0.1 (0.0–0.7) 1.6 (0.4–5.9) 0.1 (0.0–0.5)
Median 0.2 0.9 0.6 0.3 1.2 1.6 0.5 2.3 0.0
Range 0.0–0.6 0.3–2.0 0.3–1.4 0.1–0.9 0.0–2.9 0.0–6.3 0.0–1.3 0.6–5.2 0.0–0.2

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 78. Percentage of high school students who currently used smokeless tobacco daily,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 0.3 (0.2–0.6) 2.8 (1.9–4.1) 1.6 (1.1–2.3)
Race/Ethnicity
White§ 0.3 (0.1–0.9) 4.2 (2.7–6.5) 2.2 (1.5–3.4)
Black§ 0.2 (0.0–0.5) 1.0 (0.5–2.0) 0.6 (0.3–1.1)
Hispanic 0.3 (0.1–0.9) 1.2 (0.6–2.3) 0.8 (0.5–1.3)
Grade
9 0.2 (0.1–0.7) 1.0 (0.5–1.8) 0.6 (0.3–1.0)
10 0.3 (0.1–0.9) 2.8 (1.9–4.2) 1.5 (1.0–2.3)
11 0.0 3.0 (1.8–4.8) 1.5 (0.9–2.4)
12 0.6 (0.2–2.0) 4.7 (2.6–8.3) 2.6 (1.5–4.4)
Sexual identity
Heterosexual (straight) 0.2 (0.1–0.5) 2.8 (1.8–4.3) 1.6 (1.1–2.4)
Gay, lesbian, or bisexual 0.2 (0.1–0.6) 2.3 (0.9–5.8) 0.7 (0.3–1.6)
Not sure 1.8 (0.4–8.6) 3.8 (1.1–11.8) 3.5 (1.4–8.5)
Sex of sexual contacts
Opposite sex only 0.3 (0.1–1.0) 5.0 (3.3–7.4) 2.9 (1.9–4.3)
Same sex only or both sexes 1.5 (0.5–4.2) 7.0 (3.0–15.6) 2.8 (1.4–5.6)
No sexual contact 0.1 (0.0–0.4) 0.5 (0.2–1.4) 0.3 (0.1–0.7)

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on all 30 days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 79. Percentage of high school students who currently used smokeless tobacco daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 1.8 (0.6–5.0) 3.6 (1.7–7.4) 2.8 (1.4–5.7) §
Arizona 0.1 (0.0–0.5) 1.6 (0.5–4.3) 0.8 (0.3–2.2) 0.8 (0.3–2.5) 0.6 (0.1–5.4) 0.3 (0.0–2.4)
Arkansas 0.8 (0.2–3.0) 5.7 (3.5–9.2) 3.4 (2.3–5.1) 2.8 (1.8–4.4) 3.8 (1.0–13.0) 8.5 (1.9–30.5) 5.3 (3.0–8.9) 4.2 (1.0–15.1) 1.1 (0.3–3.9)
California 0.0 0.6 (0.2–1.9) 0.4 (0.1–1.0) 0.4 (0.1–1.1) 0.0 1.9 (0.2–15.6) 0.2 (0.0–1.7) 1.4 (0.2–10.2) 0.2 (0.0–1.4)
Colorado
Connecticut
Delaware 0.3 (0.1–0.8) 2.7 (1.6–4.4) 1.5 (1.0–2.3) 1.4 (0.9–2.2) 1.8 (0.6–5.4) 6.9 (2.3–18.9) 1.8 (1.0–3.4) 6.0 (2.3–15.0) 0.2 (0.1–0.9)
Florida
Hawaii
Idaho 0.4 (0.1–1.3) 1.9 (1.0–3.5) 1.1 (0.7–2.0)
Illinois 0.3 (0.1–1.0) 2.3 (0.8–6.3) 1.4 (0.5–3.7) 1.5 (0.5–4.3) 0.8 (0.1–5.0) 1.1 (0.3–4.6) 2.1 (0.7–6.2) 0.8 (0.2–3.2) 0.4 (0.1–2.0)
Iowa 0.7 (0.2–2.6) 1.0 (0.2–4.6) 0.9 (0.3–2.6) 0.7 (0.2–2.0) 1.8 (0.2–15.3) 3.2 (0.3–29.2) 1.2 (0.2–5.7) 2.8 (0.3–20.5) 0.2 (0.0–1.9)
Kansas 0.2 (0.0–0.6) 2.2 (1.2–3.9) 1.2 (0.7–2.1)
Kentucky 0.4 (0.1–1.3) 6.4 (4.6–8.9) 3.4 (2.4–4.8) 3.8 (2.7–5.4) 1.3 (0.3–4.4) 0.7 (0.2–2.7) 6.3 (4.2–9.3) 2.6 (0.8–8.6) 1.1 (0.6–2.0)
Louisiana 0.7 (0.2–2.1) 4.1 (2.2–7.7) 2.4 (1.3–4.1)
Maine 0.4 (0.2–0.7) 1.9 (1.4–2.5) 1.2 (0.9–1.5) 1.0 (0.8–1.4) 0.8 (0.4–1.5) 4.5 (3.0–6.6) 1.7 (1.2–2.4) 3.3 (2.1–5.0) 0.1 (0.0–0.3)
Maryland 0.3 (0.3–0.4) 1.3 (1.2–1.5) 0.9 (0.8–1.0) 0.6 (0.5–0.7) 1.3 (1.0–1.7) 2.6 (1.9–3.5)
Massachusetts 0.1 (0.0–0.3) 1.2 (0.5–2.6) 0.6 (0.3–1.3) 0.5 (0.2–1.1) 0.5 (0.1–1.9) 3.2 (0.9–10.3) 1.2 (0.5–2.7) 0.9 (0.3–2.7) 0.1 (0.0–0.5)
Michigan 0.9 (0.5–1.7) 3.2 (1.8–5.7) 2.0 (1.2–3.5) 1.6 (0.8–3.1) 3.4 (1.1–10.2) 6.8 (2.1–19.6) 2.7 (1.7–4.3) 7.8 (3.0–18.8) 0.4 (0.1–2.1)
Missouri 0.5 (0.1–2.3) 2.7 (1.5–4.7) 1.6 (1.0–2.6)
Montana 0.5 (0.2–1.0) 4.3 (3.6–5.3) 2.5 (2.0–3.0)
Nebraska 0.1 (0.0–0.8) 1.8 (1.0–3.4) 1.1 (0.6–1.9) 1.2 (0.6–2.1) 0.0 0.0 2.4 (1.3–4.5) 1.0 (0.1–7.0) 0.1 (0.0–0.6)
Nevada 0.2 (0.0–1.7) 0.5 (0.1–1.7) 0.5 (0.3–0.9) 0.3 (0.1–1.0) 0.8 (0.1–6.1) 2.5 (0.3–18.7) 0.4 (0.1–1.8) 2.2 (0.5–9.0) 0.0
New Hampshire
New Mexico 0.7 (0.4–1.2) 2.3 (1.4–3.8) 1.6 (1.2–2.2) 1.4 (0.9–2.2) 1.5 (0.7–3.3) 5.2 (3.4–7.7) 2.3 (1.4–3.9) 5.1 (3.2–8.0) 0.4 (0.1–1.0)
New York 0.1 (0.0–0.3) 1.1 (0.7–1.6) 0.6 (0.4–0.9) 0.5 (0.3–0.9) 0.7 (0.3–1.5) 0.9 (0.6–1.5) 1.0 (0.6–1.8) 2.2 (1.4–3.6) 0.0
North Carolina
North Dakota 0.2 (0.0–0.5) 3.4 (2.3–5.1) 1.8 (1.2–2.7) 2.0 (1.3–3.0) 0.5 (0.1–2.2) 2.9 (0.6–12.1)
Oklahoma 0.3 (0.1–1.1) 5.3 (3.7–7.4) 2.9 (2.1–4.1) 3.3 (2.3–4.7) 1.3 (0.3–5.4) 0.0 4.7 (3.2–6.8) 3.8 (1.4–9.8) 0.7 (0.3–1.9)
Pennsylvania 0.7 (0.3–1.4) 2.2 (1.5–3.3) 1.5 (1.0–2.2) 1.6 (1.1–2.5) 1.0 (0.2–4.6) 0.7 (0.1–3.4) 2.3 (1.4–3.7) 3.9 (1.6–9.5) 0.5 (0.2–1.3)
Rhode Island 0.2 (0.0–1.1) 1.6 (0.6–4.7) 1.0 (0.4–2.7) 0.7 (0.3–1.7) 0.1 (0.0–1.1) 9.6 (3.1–26.4) 1.6 (0.6–4.4) 3.0 (1.0–8.7) 0.0
South Carolina 0.1 (0.0–1.2) 3.6 (2.1–5.8) 2.0 (1.2–3.2) 1.9 (1.0–3.5) 2.2 (0.6–8.2) 2.2 (0.3–16.6) 3.3 (1.7–6.3) 2.5 (0.7–8.5) 0.2 (0.0–1.2)
Tennessee 0.6 (0.2–1.4) 5.2 (3.4–7.8) 2.9 (2.0–4.4)
Texas 0.2 (0.0–1.2) 2.0 (1.1–3.8) 1.1 (0.6–2.0) 1.2 (0.6–2.3) 0.0 0.0 1.7 (0.9–3.4) 2.2 (0.5–9.1) 0.2 (0.0–1.3)
Utah 0.2 (0.1–1.0) 0.8 (0.4–1.7) 0.5 (0.3–1.0)
Vermont 0.3 (0.2–0.5) 2.5 (2.3–2.7) 1.5 (1.4–1.6) 1.4 (1.2–1.5) 1.2 (0.8–1.9) 4.2 (3.1–5.8) 2.0 (1.7–2.3) 4.4 (3.4–5.7) 0.1 (0.0–0.1)
Virginia 0.2 (0.1–0.6) 2.5 (1.5–4.1) 1.4 (0.9–2.3)
West Virginia 0.5 (0.1–1.7) 9.6 (6.5–14.0) 5.1 (3.4–7.6) 5.1 (3.3–8.0) 3.0 (0.9–9.2) 7.4 (2.0–23.8) 8.9 (6.1–12.8) 4.3 (1.5–11.7) 0.8 (0.2–3.1)
Wisconsin 0.1 (0.0–0.6) 1.4 (0.8–2.3) 0.7 (0.4–1.2) 0.6 (0.3–1.1) 0.3 (0.0–2.7) 3.5 (0.7–15.4) 1.0 (0.6–1.8) 0.6 (0.1–4.5) 0.3 (0.1–1.3)
Median 0.3 2.3 1.4 1.3 0.9 2.7 2.0 2.8 0.2
Range 0.0–1.8 0.5–9.6 0.4–5.1 0.3–5.1 0.0–3.8 0.0–9.6 0.2–8.9 0.6–7.8 0.0–1.1
Large urban school district surveys
Baltimore, MD 0.0 0.6 (0.1–2.7) 0.4 (0.1–1.4) 0.2 (0.0–1.4) 0.0 0.0 0.3 (0.0–2.5) 1.6 (0.2–10.8) 0.0
Boston, MA 0.0 0.5 (0.2–1.5) 0.3 (0.1–0.9) 0.2 (0.1–0.8) 0.9 (0.1–6.0) 0.3 (0.0–2.2) 0.2 (0.0–1.4) 0.6 (0.1–4.2) 0.2 (0.0–1.4)
Broward County, FL 0.0 1.1 (0.3–3.8) 0.6 (0.2–2.0) 0.6 (0.1–2.5) 0.0 0.0 1.2 (0.3–4.8) 0.7 (0.1–5.4) 0.0
Chicago, IL 0.2 (0.0–0.7) 0.5 (0.2–1.2) 0.3 (0.1–0.8) 0.2 (0.1–0.6) 0.4 (0.0–2.8) 2.2 (0.6–8.5) 0.3 (0.1–1.1) 1.3 (0.3–5.4) 0.0
Cleveland, OH
DeKalb County, GA 0.0 0.6 (0.2–1.9) 0.3 (0.1–0.9) 0.1 (0.0–0.6) 0.9 (0.2–4.2) 1.7 (0.2–10.9) 0.5 (0.2–1.5) 1.0 (0.1–7.2) 0.0
Detroit, MI 0.0 0.1 (0.0–1.0) 0.1 (0.0–0.5) 0.0 0.5 (0.1–3.5) 0.0 0.0 0.6 (0.1–3.7) 0.0
District of Columbia
Duval County, FL 0.4 (0.2–0.7) 1.7 (1.2–2.6) 1.2 (0.8–1.6) 0.8 (0.5–1.3) 2.0 (1.0–4.1) 2.6 (0.9–7.0) 1.1 (0.6–1.8) 2.4 (1.3–4.3) 0.1 (0.0–0.4)
Ft. Worth, TX 0.0 0.7 (0.3–1.3) 0.4 (0.2–0.7) 0.3 (0.1–0.6) 1.4 (0.6–3.4) 0.5 (0.1–3.2) 0.5 (0.2–1.2) 1.8 (0.6–4.8) 0.0
Houston, TX 0.3 (0.1–0.8) 0.6 (0.2–1.4) 0.5 (0.2–1.0) 0.3 (0.1–0.6) 0.0 2.4 (0.6–9.7) 0.3 (0.1–0.9) 2.4 (0.8–7.1) 0.1 (0.0–0.5)
Los Angeles, CA 0.3 (0.0–2.5) 0.7 (0.3–1.8) 0.6 (0.2–1.4) 0.4 (0.2–1.0) 2.9 (0.5–15.4) 0.0 0.5 (0.1–2.4) 5.2 (1.4–17.7) 0.0
Miami-Dade County, FL 0.2 (0.1–0.5) 0.8 (0.4–1.7) 0.5 (0.3–1.0) 0.3 (0.1–0.6) 0.3 (0.1–1.3) 6.3 (2.0–18.1) 0.4 (0.1–0.9) 3.1 (1.1–8.4) 0.0
New York City, NY 0.2 (0.1–0.4) 0.9 (0.5–1.5) 0.6 (0.3–0.9) 0.2 (0.1–0.4) 1.4 (0.7–2.9) 1.4 (0.8–2.5) 0.6 (0.3–1.2) 3.0 (1.6–5.4) 0.0
Oakland, CA 0.5 (0.2–1.4) 0.2 (0.1–0.7) 0.3 (0.2–0.8) 0.4 (0.2–0.9) 0.3 (0.0–2.2) 0.0 0.4 (0.1–1.5) 1.4 (0.3–5.7) 0.1 (0.0–1.1)
Orange County, FL 0.5 (0.1–1.4) 0.9 (0.4–2.2) 0.7 (0.3–1.4) 0.6 (0.3–1.3) 0.7 (0.1–5.4) 0.0 0.7 (0.2–2.3) 2.7 (0.8–8.6) 0.0
Palm Beach County, FL 0.2 (0.1–0.8) 0.7 (0.3–1.4) 0.5 (0.2–1.0) 0.2 (0.1–0.5) 1.7 (0.6–4.7) 3.2 (1.2–8.7) 0.4 (0.1–1.2) 3.5 (1.3–9.3) 0.0
Philadelphia, PA 0.2 (0.0–1.6) 0.3 (0.1–1.1) 0.3 (0.1–0.8) 0.1 (0.0–0.7) 1.6 (0.3–7.0) 0.6 (0.1–4.5) 0.0 1.5 (0.2–9.0) 0.0
San Diego, CA 0.0 0.6 (0.2–1.6) 0.3 (0.1–0.9) 0.3 (0.1–1.0) 0.3 (0.0–2.2) 0.0 0.4 (0.1–1.7) 1.5 (0.2–10.1) 0.1 (0.0–0.4)
San Francisco, CA
Shelby County, TN 0.1 (0.0–0.4) 0.8 (0.3–2.3) 0.4 (0.2–1.1) 0.1 (0.0–0.4) 0.2 (0.0–1.6) 0.0 0.1 (0.0–0.7) 0.6 (0.1–2.5) 0.0
Median 0.2 0.6 0.4 0.2 0.6 0.4 0.4 1.6 0.0
Range 0.0–0.5 0.1–1.7 0.1–1.2 0.0–0.8 0.0–2.9 0.0–6.3 0.0–1.2 0.6–5.2 0.0–0.2

* Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products (e.g., Red Man, Levi Garrett, Beech-Nut, Skoal and Skoal Bandits, Copenhagen, Camel, Marlboro Snus, General Snus, Ariva and Stonewall, or Camel Orbs), not counting any electronic vapor products, on all 30 days during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 80. Percentage of high school students who currently smoked cigars,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 5.4 (4.6–6.4) 10.5 (9.4–11.7) 8.0 (7.2–8.9)
Race/Ethnicity
White§ 5.5 (4.3–7.0) 12.7 (11.2–14.4) 9.0 (7.8–10.3)
Black§ 5.9 (4.3–8.1) 8.7 (6.6–11.3) 7.4 (6.0–9.1)
Hispanic 5.0 (3.6–6.9) 7.6 (6.2–9.3) 6.3 (5.3–7.5)
Grade
9 3.9 (2.6–5.8) 6.1 (4.7–7.9) 5.0 (3.9–6.3)
10 3.6 (2.8–4.6) 7.4 (6.1–9.0) 5.5 (4.6–6.4)
11 7.0 (5.5–9.0) 11.3 (9.1–13.9) 9.2 (7.7–10.9)
12 7.4 (6.0–9.0) 18.0 (15.5–20.8) 12.5 (11.1–14.1)
Sexual identity
Heterosexual (straight) 4.5 (3.7–5.5) 10.4 (9.2–11.8) 7.7 (6.9–8.6)
Gay, lesbian, or bisexual 10.1 (7.9–12.9) 11.9 (7.8–17.8) 10.8 (8.5–13.6)
Not sure 7.7 (4.7–12.6) 13.0 (8.6–19.2) 10.9 (7.6–15.3)
Sex of sexual contacts
Opposite sex only 7.6 (6.0–9.7) 17.7 (15.4–20.2) 13.2 (11.6–14.9)
Same sex only or both sexes 18.3 (15.2–21.9) 20.1 (14.3–27.5) 18.7 (15.7–22.2)
No sexual contact 1.2 (0.8–1.8) 2.6 (2.0–3.5) 1.9 (1.5–2.4)

* Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 81. Percentage of high school students who currently smoked cigars,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 5.2 (3.7–7.3) 7.9 (5.4–11.3) 6.6 (4.8–9.0) §
Arizona 3.6 (2.4–5.5) 7.1 (4.8–10.3) 5.5 (3.8–8.1) 4.7 (3.1–7.0) 10.9 (6.3–18.2) 4.3 (1.2–14.4)
Arkansas 11.8 (8.0–17.0) 15.7 (12.0–20.3) 14.1 (10.8–18.0) 11.4 (8.6–14.9) 27.7 (16.9–41.8) 19.8 (7.5–42.7) 18.8 (13.4–25.7) 24.1 (14.4–37.7) 1.7 (0.9–3.2)
California
Colorado
Connecticut
Delaware 5.0 (3.7–6.7) 9.6 (7.4–12.3) 7.3 (5.9–9.1) 6.9 (5.4–8.8) 10.5 (6.5–16.8) 13.8 (7.1–25.2) 10.6 (8.4–13.3) 15.4 (8.9–25.2) 1.9 (1.0–3.5)
Florida
Hawaii
Idaho 3.7 (2.5–5.5) 8.7 (6.6–11.4) 6.3 (4.9–8.0)
Illinois 5.5 (4.3–7.1) 10.2 (7.5–13.6) 8.1 (6.3–10.2) 7.1 (5.5–9.3) 13.9 (10.0–18.8) 7.8 (3.6–16.0) 11.1 (8.5–14.5) 21.4 (16.2–27.7) 2.3 (1.4–3.8)
Iowa 5.4 (3.2–9.0) 8.5 (5.9–12.0) 7.3 (5.3–9.8) 6.1 (4.0–9.0) 14.1 (6.0–29.7) 10.5 (3.4–28.2) 8.8 (5.1–14.9) 23.3 (9.2–47.7) 1.9 (1.3–2.7)
Kansas 4.1 (2.8–5.8) 10.9 (8.8–13.5) 7.6 (6.2–9.2)
Kentucky 7.6 (5.8–10.0) 13.4 (10.1–17.5) 11.0 (8.9–13.5) 9.5 (7.6–11.9) 20.9 (13.4–31.1) 12.4 (5.5–25.8) 15.8 (12.7–19.6) 28.1 (21.6–35.6) 3.0 (1.7–5.5)
Louisiana 8.9 (6.3–12.3) 12.6 (9.2–17.0) 11.0 (8.5–14.3)
Maine 4.7 (3.9–5.5) 10.3 (8.9–11.7) 7.7 (6.9–8.5) 7.2 (6.3–8.2) 8.3 (6.7–10.2) 13.5 (10.7–16.8) 11.4 (9.9–13.2) 16.9 (14.5–19.7) 1.3 (1.0–1.7)
Maryland 6.3 (5.8–6.9) 10.9 (10.4–11.6) 9.0 (8.5–9.5) 6.7 (6.3–7.1) 17.3 (15.6–19.1) 12.1 (10.4–14.0)
Massachusetts 2.6 (1.7–4.0) 10.5 (8.2–13.4) 6.7 (5.2–8.4) 6.6 (5.2–8.3) 5.2 (2.7–9.8) 8.6 (4.0–17.5) 11.3 (8.8–14.4) 10.5 (5.9–18.0) 1.5 (0.7–2.9)
Michigan 7.3 (4.9–10.7) 10.6 (6.5–16.8) 9.2 (6.2–13.2) 7.9 (4.9–12.4) 15.6 (8.8–26.3) 15.4 (8.8–25.5) 13.1 (7.7–21.4) 20.8 (13.1–31.4) 2.1 (1.0–4.6)
Missouri 6.8 (4.9–9.3) 11.4 (8.7–14.9) 9.2 (7.2–11.8)
Montana 9.2 (7.9–10.7) 16.1 (14.0–18.4) 12.9 (11.7–14.3)
Nebraska 4.3 (2.5–7.4) 8.3 (5.6–12.1) 6.7 (4.8–9.3) 5.8 (3.8–8.6) 16.3 (9.6–26.2) 6.4 (1.8–20.3) 10.6 (7.7–14.5) 12.2 (5.9–23.6) 2.5 (1.0–6.1)
Nevada 3.3 (2.2–4.9) 8.7 (6.7–11.3) 6.2 (5.0–7.7) 5.4 (4.1–7.0) 6.8 (3.6–12.6) 16.6 (6.8–35.4) 10.2 (8.0–12.9) 14.7 (9.4–22.2) 0.5 (0.2–1.5)
New Hampshire 5.6 (4.8–6.4) 13.0 (11.8–14.3) 9.5 (8.7–10.4) 9.1 (8.3–10.0) 10.3 (8.3–12.6) 14.3 (10.9–18.6) 15.0 (13.8–16.3) 22.5 (18.6–26.9) 2.0 (1.6–2.5)
New Mexico 7.5 (5.6–10.1) 12.8 (10.9–14.9) 10.2 (8.5–12.2) 8.5 (7.3–9.8) 18.0 (12.7–25.1) 19.9 (13.9–27.8) 16.0 (13.7–18.5) 28.3 (23.6–33.6) 1.6 (1.1–2.4)
New York 5.3 (3.7–7.7) 9.0 (6.9–11.6) 7.7 (5.9–9.8) 6.0 (4.3–8.2) 14.1 (9.8–19.8) 11.5 (8.1–16.0) 12.6 (9.3–16.9) 18.2 (11.4–27.9) 0.9 (0.5–1.9)
North Carolina
North Dakota 5.5 (4.0–7.5) 10.7 (8.3–13.7) 8.2 (6.6–10.3) 7.8 (6.1–9.9) 13.7 (8.8–20.7) 4.1 (1.2–12.6)
Oklahoma 5.6 (4.0–7.8) 10.8 (7.7–14.9) 8.2 (6.5–10.4) 7.6 (5.8–9.9) 15.2 (9.7–22.9) 7.0 (2.6–17.5) 13.1 (9.8–17.4) 18.6 (12.3–27.0) 1.3 (0.7–2.5)
Pennsylvania 4.0 (3.1–5.3) 10.9 (8.9–13.3) 7.6 (6.4–9.0) 7.7 (6.4–9.2) 7.2 (4.4–11.3) 5.0 (2.1–11.3) 12.4 (10.2–15.1) 13.9 (9.1–20.6) 1.6 (1.0–2.6)
Rhode Island 2.8 (1.3–5.6) 10.0 (7.5–13.0) 6.8 (5.2–8.8) 6.0 (4.6–7.9) 6.4 (3.3–12.2) 18.8 (10.7–30.9) 9.0 (6.0–13.3) 16.8 (9.7–27.5) 1.1 (0.5–2.4)
South Carolina 8.3 (6.1–11.2) 12.6 (10.2–15.4) 10.8 (9.0–12.8) 9.2 (7.1–11.7) 19.8 (15.5–25.0) 10.3 (5.6–18.2) 14.7 (11.5–18.5) 30.5 (22.2–40.3) 1.9 (0.9–3.7)
Tennessee 7.4 (5.2–10.5) 11.2 (9.2–13.7) 9.6 (8.1–11.5)
Texas 4.5 (2.9–6.8) 9.2 (7.0–12.0) 7.0 (5.6–8.8) 6.5 (5.1–8.2) 9.3 (5.3–15.8) 4.9 (1.7–13.7) 10.7 (8.3–13.7) 15.5 (9.0–25.4) 1.0 (0.5–1.8)
Utah 1.6 (0.9–2.6) 4.2 (2.7–6.6) 3.2 (2.1–4.7)
Vermont 5.7 (5.3–6.2) 12.6 (12.0–13.3) 9.4 (9.0–9.8) 9.1 (8.7–9.6) 11.1 (9.7–12.5) 10.7 (8.8–12.9) 14.5 (13.8–15.2) 20.1 (18.0–22.4) 1.2 (1.0–1.5)
Virginia 3.8 (2.8–5.2) 8.8 (7.2–10.9) 6.4 (5.5–7.6)
West Virginia 6.5 (4.7–9.0) 15.5 (12.1–19.6) 11.4 (9.0–14.3) 10.1 (7.9–12.9) 21.0 (13.7–30.8) 13.5 (4.8–32.5) 15.0 (12.2–18.5) 26.9 (15.9–41.7) 2.4 (1.3–4.4)
Wisconsin 4.4 (2.9–6.7) 10.6 (8.4–13.4) 7.6 (6.2–9.4) 7.0 (5.4–8.9) 11.0 (8.0–15.0) 8.7 (4.5–16.1) 11.8 (8.9–15.4) 23.5 (16.7–32.0) 1.8 (1.1–3.0)
Median 5.4 10.6 7.7 7.2 13.8 11.1 12.4 20.1 1.7
Range 1.6–11.8 4.2–16.1 3.2–14.1 4.7–11.4 5.2–27.7 4.1–19.9 8.8–18.8 10.5–30.5 0.5–3.0
Large urban school district surveys
Baltimore, MD 7.6 (5.0–11.3) 11.4 (7.8–16.3) 9.5 (7.3–12.4) 6.2 (3.9–9.6) 17.6 (11.9–25.2) 7.5 (2.3–22.1) 9.4 (5.7–15.1) 27.6 (18.3–39.3) 1.3 (0.4–4.3)
Boston, MA 1.7 (1.0–2.9) 5.0 (3.3–7.5) 3.4 (2.4–4.8) 3.1 (2.1–4.7) 5.6 (2.5–12.2) 3.4 (0.9–12.7) 5.2 (3.3–8.1) 8.9 (4.8–16.0) 0.4 (0.1–1.7)
Broward County, FL 2.6 (1.3–5.2) 6.6 (3.8–11.1) 4.8 (3.2–7.3) 3.3 (2.1–5.2) 10.8 (5.1–21.5) 7.3 (3.1–16.1) 4.4 (2.3–8.3) 14.1 (6.8–27.1) 1.3 (0.3–5.2)
Chicago, IL 5.8 (3.6–9.2) 8.2 (5.4–12.2) 7.2 (4.9–10.6) 5.2 (3.6–7.5) 12.5 (6.8–21.8) 12.2 (5.7–24.2) 7.2 (4.4–11.6) 19.1 (12.0–29.1) 1.7 (1.0–2.9)
Cleveland, OH
DeKalb County, GA 5.8 (4.1–8.3) 9.2 (7.0–12.0) 7.5 (6.0–9.3) 5.5 (4.1–7.2) 16.1 (11.1–22.6) 10.7 (5.4–20.2) 9.9 (7.9–12.3) 21.7 (14.8–30.8) 1.7 (0.9–3.1)
Detroit, MI 3.1 (2.0–4.8) 7.9 (5.4–11.3) 5.6 (4.2–7.3) 3.6 (2.5–5.1) 10.5 (6.6–16.2) 13.7 (5.9–29.0) 4.8 (3.3–6.9) 14.9 (9.9–21.8) 1.1 (0.5–2.3)
District of Columbia 7.5 (6.7–8.5) 11.9 (10.8–13.1) 10.5 (9.8–11.3) 8.6 (7.8–9.4) 17.4 (15.1–20.0) 15.4 (11.8–19.9) 9.9 (8.8–11.2) 18.9 (16.3–21.7) 1.9 (1.4–2.5)
Duval County, FL 6.3 (5.2–7.7) 8.9 (7.4–10.7) 8.1 (7.1–9.3) 4.0 (3.4–4.8) 19.3 (15.8–23.4) 12.7 (8.2–19.3) 7.8 (6.4–9.4) 17.0 (13.5–21.1) 0.9 (0.5–1.9)
Ft. Worth, TX 4.2 (3.2–5.4) 8.3 (6.9–10.0) 6.5 (5.5–7.7) 5.3 (4.4–6.3) 13.4 (9.9–18.1) 9.3 (5.2–16.2) 9.7 (7.9–11.9) 16.6 (11.6–23.2) 1.6 (1.1–2.4)
Houston, TX 6.0 (5.0–7.3) 7.8 (6.3–9.7) 7.0 (6.0–8.2) 5.2 (4.2–6.4) 14.2 (10.9–18.3) 14.4 (8.7–23.0) 9.4 (7.6–11.7) 22.3 (17.0–28.6) 1.7 (1.2–2.5)
Los Angeles, CA 1.5 (0.8–2.7) 3.7 (2.5–5.4) 2.7 (1.9–3.9) 2.2 (1.6–3.0) 9.6 (3.9–22.0) 1.7 (0.2–13.2) 4.2 (3.0–5.9) 11.6 (4.6–26.3) 0.3 (0.1–1.1)
Miami-Dade County, FL 3.2 (2.4–4.3) 6.7 (5.3–8.5) 5.3 (4.3–6.6) 3.6 (2.8–4.6) 11.5 (8.1–16.0) 20.7 (13.4–30.4) 5.8 (4.5–7.6) 12.8 (7.9–20.0) 1.0 (0.5–2.0)
New York City, NY 3.5 (2.7–4.6) 7.1 (5.9–8.4) 5.8 (4.9–6.8) 4.2 (3.4–5.1) 11.7 (8.7–15.5) 9.1 (7.6–10.9) 7.2 (5.6–9.2) 19.9 (15.5–25.3) 1.0 (0.7–1.5)
Oakland, CA 4.3 (3.2–5.8) 8.6 (6.4–11.4) 6.9 (5.5–8.7) 6.5 (5.2–8.2) 9.9 (5.4–17.4) 3.7 (1.3–10.1) 11.1 (8.6–14.1) 17.0 (11.4–24.6) 1.2 (0.6–2.4)
Orange County, FL 3.0 (1.8–4.9) 8.9 (6.7–11.7) 6.3 (4.7–8.4) 4.6 (3.4–6.2) 11.8 (6.8–19.7) 10.9 (5.0–22.1) 9.7 (7.1–13.2) 12.1 (6.7–21.0) 1.1 (0.4–2.8)
Palm Beach County, FL 3.5 (2.5–4.9) 6.7 (5.1–8.8) 5.4 (4.4–6.6) 3.7 (2.8–4.9) 12.9 (9.0–18.3) 11.8 (7.0–19.2) 6.6 (5.1–8.5) 15.3 (10.1–22.4) 0.7 (0.3–1.6)
Philadelphia, PA 3.1 (1.7–5.7) 6.2 (3.3–11.3) 4.7 (2.6–8.2) 3.2 (1.6–6.3) 9.7 (5.4–17.0) 15.0 (4.9–37.8) 4.5 (2.5–8.0) 16.0 (8.5–28.1) 0.6 (0.2–1.8)
San Diego, CA 2.9 (2.2–3.9) 4.9 (3.6–6.7) 3.9 (3.2–4.8) 4.0 (3.1–5.0) 4.1 (2.0–8.2) 4.1 (1.4–11.3) 6.0 (4.4–8.1) 9.3 (5.1–16.4) 0.9 (0.4–2.0)
San Francisco, CA
Shelby County, TN 7.8 (6.0–10.0) 10.2 (8.3–12.5) 9.3 (7.9–11.0) 6.8 (5.5–8.4) 17.2 (12.4–23.3) 24.5 (15.2–37.0) 11.0 (8.7–13.7) 21.4 (15.5–28.7) 1.4 (0.6–3.0)
Median 3.5 7.9 6.3 4.2 11.8 10.9 7.2 16.6 1.1
Range 1.5–7.8 3.7–11.9 2.7–10.5 2.2–8.6 4.1–19.3 1.7–24.5 4.2–11.1 8.9–27.6 0.3–1.9

* Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey.
95% confidence interval.
§ Not available.

TABLE 82. Percentage of high school students who currently frequently smoked cigars,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017Return to your place in the text
Category Sex Total
Female Male
% CI % CI % CI
Total 0.7 (0.5–1.1) 1.7 (1.3–2.1) 1.3 (1.0–1.6)
Race/Ethnicity
White§ 0.7 (0.4–1.2) 1.7 (1.1–2.4) 1.2 (0.9–1.6)
Black§ 1.4 (0.7–2.8) 2.0 (1.3–3.1) 1.8 (1.2–2.7)
Hispanic 0.6 (0.3–1.2) 1.5 (0.9–2.4) 1.1 (0.7–1.6)
Grade
9 0.3 (0.1–0.7) 1.0 (0.5–1.9) 0.6 (0.4–1.1)
10 0.2 (0.1–0.5) 1.2 (0.7–2.3) 0.7 (0.4–1.2)
11 0.8 (0.4–1.6) 1.9 (1.2–3.0) 1.4 (0.9–2.0)
12 1.5 (0.9–2.8) 2.8 (1.9–4.2) 2.2 (1.6–3.0)
Sexual identity
Heterosexual (straight) 0.6 (0.4–0.9) 1.4 (1.1–1.9) 1.1 (0.8–1.4)
Gay, lesbian, or bisexual 1.1 (0.6–1.9) 2.7 (1.2–6.2) 1.5 (1.0–2.5)
Not sure 1.9 (0.4–8.4) 5.8 (2.5–13.0) 4.3 (2.0–9.1)
Sex of sexual contacts
Opposite sex only 0.9 (0.5–1.8) 2.7 (2.0–3.6) 1.9 (1.4–2.6)
Same sex only or both sexes 2.7 (1.4–5.2) 8.1 (3.8–16.5) 4.1 (2.4–6.8)
No sexual contact 0.2 (0.1–0.5) 0.1 (0.0–0.3) 0.2 (0.1–0.3)

* Cigars, cigarillos, or little cigars, on 20 or more days during the 30 days before the survey.
95% confidence interval.
§ Non-Hispanic.

TABLE 83. Percentage of high school students who currently frequently smoked cigars,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017Return to your place in the text
Site Sex Total Sexual identity Sex of sexual contacts
Female Male Heterosexual (straight) Gay, lesbian, or bisexual Not sure Opposite sex only Same sex only or both sexes No sexual contact
% CI % CI % CI % CI % CI % CI % CI % CI % CI
State surveys
Alaska 0.6 (0.2–2.3) 0.8 (0.3–2.1) 0.7 (0.3–1.7) §
Arizona 0.1 (0.0–0.5) 0.5 (0.2–1.3) 0.4 (0.2–0.8) 0.2 (0.1–0.6) 1.2 (0.3–5.3) 0.3 (0.0–2.4)
Arkansas 2.7 (0.7–9.8) 3.0 (1.5–5.9) 2.9 (1.6–5.1) 1.9 (1.0–3.5) 8.1 (2.9–20.4) 5.3 (1.1–21.7) 2.9 (1.4–6.0) 7.5 (2.9–17.9) 0.0
California &mdash