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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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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, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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.

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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, 2017
Category	Sex				Total
	Female		Male		Total
	%	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.

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**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, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	0.9	(0.4–2.1)	2.5	(1.5–4.0)	1.7	(1.1–2.6)	1.5	(1.0–2.4)	2.3	(0.9–5.7)	5.3	(1.4–17.5)	2.4	(1.4–3.9)	6.2	(2.4–15.3)	0.0	—
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	0.5	(0.2–1.4)	1.0	(0.5–2.2)	0.8	(0.4–1.4)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	1.3	(0.7–2.3)	2.1	(1.0–4.2)	1.7	(1.0–2.9)	1.6	(0.8–3.1)	3.2	(1.4–7.3)	0.9	(0.2–4.9)	2.5	(1.3–4.6)	4.9	(2.1–11.0)	0.3	(0.1–1.9)
Iowa	0.8	(0.2–2.7)	0.9	(0.3–2.7)	1.1	(0.7–1.8)	0.8	(0.3–2.0)	0.2	(0.0–1.9)	3.3	(0.3–25.6)	1.4	(0.5–3.7)	0.6	(0.1–5.4)	0.0	—
Kansas	0.2	(0.1–0.7)	1.4	(0.6–3.4)	0.8	(0.4–1.8)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	0.8	(0.4–1.8)	0.9	(0.5–1.8)	1.0	(0.6–1.6)	0.7	(0.4–1.4)	3.4	(1.4–7.7)	0.3	(0.0–2.0)	1.4	(0.8–2.5)	2.4	(0.9–6.2)	0.0	—
Louisiana	1.5	(0.4–5.2)	3.7	(2.5–5.6)	2.6	(1.8–3.7)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	0.6	(0.3–0.9)	1.6	(1.2–2.0)	1.1	(0.9–1.3)	0.8	(0.7–1.0)	1.4	(0.8–2.2)	4.6	(3.0–6.9)	1.4	(1.1–1.9)	3.8	(2.4–6.0)	0.1	(0.0–0.3)
Maryland	0.9	(0.7–1.0)	1.6	(1.4–1.8)	1.3	(1.2–1.5)	0.8	(0.7–1.0)	2.3	(1.8–2.8)	3.8	(2.9–4.9)	—	—	—	—	—	—
Massachusetts	0.2	(0.1–0.6)	1.1	(0.6–1.9)	0.6	(0.4–1.1)	0.5	(0.3–0.9)	0.3	(0.1–1.5)	4.1	(1.4–11.2)	1.3	(0.7–2.3)	1.2	(0.4–3.6)	0.0	—
Michigan	1.9	(0.9–4.2)	1.5	(0.7–3.3)	1.8	(1.1–2.9)	1.3	(0.7–2.5)	2.8	(0.8–9.3)	7.1	(4.1–12.2)	2.5	(1.1–5.4)	5.9	(2.3–14.4)	0.3	(0.0–2.3)
Missouri	0.5	(0.1–2.2)	1.1	(0.4–3.3)	0.8	(0.3–2.2)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	0.7	(0.4–1.2)	1.5	(0.9–2.2)	1.1	(0.8–1.5)	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	0.6	(0.1–2.7)	0.9	(0.3–2.5)	0.8	(0.3–1.8)	0.8	(0.3–2.0)	0.5	(0.1–3.2)	1.7	(0.2–11.2)	1.9	(0.8–4.8)	0.7	(0.1–5.3)	0.1	(0.0–0.6)
Nevada	0.6	(0.2–1.8)	1.1	(0.4–3.1)	1.0	(0.5–2.2)	1.0	(0.5–2.0)	1.0	(0.2–5.1)	2.5	(0.3–18.7)	1.6	(0.7–3.7)	2.4	(0.6–8.8)	0.0	—
New Hampshire	0.7	(0.5–0.9)	2.0	(1.6–2.5)	1.4	(1.2–1.8)	1.0	(0.8–1.3)	1.9	(1.2–3.1)	6.9	(4.8–9.8)	1.6	(1.2–2.0)	8.2	(6.0–11.1)	0.1	(0.0–0.3)
New Mexico	1.4	(0.7–2.7)	1.8	(1.3–2.6)	1.7	(1.2–2.3)	1.1	(0.7–1.7)	4.4	(2.5–7.5)	5.5	(3.4–8.8)	2.4	(1.6–3.5)	6.3	(3.9–10.1)	0.1	(0.0–0.3)
New York	0.6	(0.4–0.9)	1.3	(0.8–2.3)	1.0	(0.7–1.4)	0.7	(0.4–1.3)	1.2	(0.6–2.7)	3.3	(1.7–6.3)	1.4	(0.6–2.9)	3.8	(1.9–7.6)	0.1	(0.0–0.4)
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	0.2	(0.1–0.9)	1.3	(0.7–2.7)	0.8	(0.4–1.5)	0.7	(0.3–1.3)	0.7	(0.2–2.9)	2.0	(0.3–13.4)	—	—	—	—	—	—
Oklahoma	0.4	(0.1–1.8)	1.1	(0.5–2.3)	0.7	(0.4–1.5)	0.5	(0.2–1.3)	3.0	(1.0–8.4)	0.0	—	0.9	(0.4–2.1)	3.9	(1.2–11.4)	0.0	—
Pennsylvania	0.4	(0.2–1.1)	1.0	(0.6–1.9)	0.8	(0.5–1.2)	0.8	(0.5–1.2)	0.4	(0.1–1.5)	1.1	(0.3–3.8)	1.2	(0.7–2.1)	1.5	(0.7–3.3)	0.0	—
Rhode Island	0.9	(0.3–2.8)	1.4	(0.5–3.6)	1.2	(0.7–2.3)	1.0	(0.5–2.2)	0.4	(0.0–3.1)	7.6	(1.8–26.5)	2.1	(1.0–4.4)	2.1	(0.6–6.7)	0.0	—
South Carolina	0.9	(0.5–1.6)	2.8	(1.6–4.8)	2.0	(1.4–2.9)	1.0	(0.6–1.8)	4.8	(1.6–13.9)	4.0	(0.4–27.8)	1.1	(0.4–2.9)	8.4	(3.1–20.9)	0.2	(0.0–1.6)
Tennessee	1.3	(0.9–2.1)	2.6	(1.5–4.5)	2.1	(1.5–2.9)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	0.6	(0.2–1.4)	1.7	(0.9–3.2)	1.2	(0.7–1.9)	1.1	(0.6–2.0)	0.6	(0.1–2.7)	0.0	—	2.1	(1.2–3.7)	2.1	(0.5–7.7)	0.0	—
Utah	0.4	(0.1–1.4)	0.6	(0.2–1.6)	0.5	(0.3–1.1)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	0.6	(0.5–0.8)	1.9	(1.7–2.2)	1.4	(1.2–1.5)	1.1	(0.9–1.2)	2.0	(1.5–2.7)	4.8	(3.5–6.4)	1.6	(1.3–1.8)	5.6	(4.4–7.0)	0.1	(0.1–0.2)
Virginia	0.8	(0.4–1.6)	1.5	(0.9–2.5)	1.2	(0.8–1.9)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	0.9	(0.6–1.5)	4.5	(3.0–6.8)	2.9	(2.0–4.2)	2.6	(1.6–4.1)	4.6	(1.6–12.6)	0.9	(0.1–6.9)	4.2	(2.7–6.6)	5.0	(1.8–12.9)	0.0	—
Wisconsin	0.4	(0.1–1.4)	0.6	(0.2–1.5)	0.5	(0.3–0.8)	0.3	(0.1–0.7)	1.5	(0.3–6.5)	2.3	(0.5–10.2)	0.6	(0.3–1.4)	3.2	(0.9–10.7)	0.1	(0.0–1.0)
Median	0.6		1.4		1.1		0.9		1.7		3.3		1.6		3.8		0.0
Range	0.1–2.7		0.5–4.5		0.4–2.9		0.2–2.6		0.2–8.1		0.0–7.6		0.6–4.2		0.6–8.4		0.0–0.3
Large urban school district surveys
Baltimore, MD	0.3	(0.0–1.3)	2.8	(1.3–5.9)	1.5	(0.7–3.1)	1.2	(0.5–2.9)	2.3	(0.6–8.7)	0.0	—	1.8	(0.7–4.4)	4.1	(1.4–11.6)	0.0	—
Boston, MA	0.3	(0.1–1.4)	0.9	(0.4–2.0)	0.7	(0.3–1.4)	0.5	(0.2–1.1)	1.7	(0.4–6.8)	2.1	(0.4–11.6)	0.9	(0.4–2.2)	1.7	(0.4–7.1)	0.2	(0.0–1.4)
Broward County, FL	0.0	—	1.0	(0.2–3.8)	0.5	(0.1–2.0)	0.3	(0.0–2.5)	0.0	—	0.8	(0.1–6.4)	0.7	(0.1–4.7)	0.0	—	0.0	—
Chicago, IL	0.2	(0.0–1.0)	1.1	(0.5–2.4)	0.8	(0.4–1.4)	0.6	(0.3–1.3)	1.5	(0.4–5.0)	0.0	—	0.7	(0.2–2.0)	0.7	(0.1–6.0)	0.2	(0.0–1.6)
Cleveland, OH	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
DeKalb County, GA	0.9	(0.3–2.3)	1.9	(1.2–3.0)	1.4	(0.9–2.2)	1.0	(0.6–1.7)	3.2	(1.2–8.1)	1.7	(0.2–11.2)	1.8	(1.1–2.9)	6.3	(3.0–12.8)	0.2	(0.0–1.4)
Detroit, MI	0.3	(0.1–0.9)	1.2	(0.5–3.0)	0.7	(0.3–1.5)	0.5	(0.2–1.3)	1.7	(0.5–5.0)	0.3	(0.0–2.6)	0.9	(0.3–2.3)	2.2	(0.5–8.4)	0.2	(0.0–1.7)
District of Columbia	0.6	(0.4–1.0)	1.5	(1.1–2.1)	1.1	(0.9–1.4)	1.0	(0.7–1.3)	0.9	(0.5–1.6)	2.6	(1.4–4.9)	1.6	(1.1–2.2)	2.0	(1.2–3.2)	0.1	(0.0–0.3)
Duval County, FL	1.0	(0.6–1.6)	1.5	(1.0–2.3)	1.5	(1.1–2.1)	0.8	(0.5–1.3)	2.2	(1.1–4.1)	4.1	(1.8–8.8)	1.2	(0.6–2.1)	3.6	(2.1–6.0)	0.2	(0.0–0.9)
Ft. Worth, TX	0.4	(0.1–1.4)	1.7	(1.1–2.5)	1.1	(0.7–1.9)	1.0	(0.6–1.5)	1.5	(0.4–5.8)	2.2	(0.7–7.2)	1.9	(1.2–3.0)	4.0	(1.6–9.5)	0.1	(0.0–0.4)
Houston, TX	1.1	(0.7–1.8)	1.6	(1.0–2.5)	1.4	(1.0–2.0)	0.9	(0.6–1.4)	3.2	(1.8–5.7)	3.2	(1.0–10.1)	1.1	(0.6–2.0)	6.7	(3.8–11.5)	0.3	(0.1–0.7)
Los Angeles, CA	0.3	(0.0–2.5)	1.0	(0.4–2.4)	0.7	(0.3–1.6)	0.6	(0.2–1.4)	3.0	(0.5–15.5)	0.0	—	1.1	(0.4–3.1)	4.0	(0.8–18.4)	0.0	—
Miami-Dade County, FL	0.3	(0.1–0.7)	1.0	(0.5–1.9)	0.7	(0.4–1.2)	0.5	(0.2–0.9)	0.7	(0.2–2.4)	5.1	(1.6–15.5)	0.8	(0.4–1.6)	2.6	(0.9–7.0)	0.0	—
New York City, NY	0.4	(0.2–0.8)	1.5	(1.1–2.0)	1.1	(0.8–1.4)	0.8	(0.6–1.2)	2.1	(1.2–3.7)	1.7	(1.0–2.7)	1.6	(1.1–2.3)	3.8	(2.3–6.2)	0.2	(0.1–0.4)
Oakland, CA	0.7	(0.4–1.5)	1.3	(0.7–2.2)	1.0	(0.7–1.5)	0.9	(0.6–1.5)	1.9	(0.7–5.2)	0.0	—	2.0	(1.2–3.3)	3.4	(1.4–8.2)	0.0	—
Orange County, FL	0.7	(0.3–1.7)	2.4	(1.3–4.3)	1.6	(0.9–2.7)	1.2	(0.7–2.1)	3.1	(1.1–8.3)	0.0	—	1.6	(0.8–3.3)	6.0	(2.4–14.4)	0.2	(0.0–1.4)
Palm Beach County, FL	0.7	(0.3–1.5)	0.8	(0.4–1.6)	0.8	(0.4–1.3)	0.4	(0.2–0.8)	2.4	(1.0–6.0)	3.2	(1.1–8.8)	0.7	(0.3–1.6)	4.4	(1.8–10.6)	0.0	—
Philadelphia, PA	1.0	(0.4–2.4)	0.8	(0.2–3.2)	0.9	(0.3–2.4)	0.7	(0.2–2.0)	1.0	(0.1–7.4)	5.6	(1.2–21.7)	1.2	(0.4–3.9)	3.4	(1.0–11.3)	0.0	—
San Diego, CA	0.0	—	1.5	(0.8–2.9)	0.8	(0.4–1.5)	0.9	(0.4–1.7)	0.3	(0.0–2.2)	0.0	—	1.2	(0.5–2.8)	1.7	(0.3–9.3)	0.3	(0.1–1.5)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	0.9	(0.4–2.0)	1.5	(0.7–2.9)	1.2	(0.7–2.1)	1.1	(0.6–2.1)	0.5	(0.2–1.7)	2.5	(0.6–9.1)	2.0	(1.0–3.9)	1.2	(0.5–3.0)	0.0	—
Median	0.4		1.5		1.0		0.8		1.7		1.7		1.2		3.4		0.1
Range	0.0–1.1		0.8–2.8		0.5–1.6		0.3–1.2		0.0–3.2		0.0–5.6		0.7–2.0		0.0–6.7		0.0–0.3

* Cigars, cigarillos, or little cigars, on 20 or more days during the 30 days before the survey.
^† 95% confidence interval.
^§ Not available.

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TABLE 84. Percentage of high school students who currently smoked cigars daily,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017
Category	Sex				Total
	Female		Male		Total
	%	CI^†	%	CI	%	CI
Total	0.6	(0.4–1.0)	1.2	(0.9–1.6)	1.0	(0.8–1.2)
Race/Ethnicity
White^§	0.6	(0.3–1.1)	1.2	(0.7–2.0)	0.9	(0.6–1.3)
Black^§	1.3	(0.7–2.6)	1.4	(0.7–2.5)	1.4	(0.9–2.3)
Hispanic	0.5	(0.2–1.0)	1.0	(0.6–1.7)	0.7	(0.5–1.1)
Grade
9	0.2	(0.1–0.7)	0.6	(0.3–1.2)	0.4	(0.2–0.7)
10	0.2	(0.1–0.5)	1.2	(0.6–2.2)	0.7	(0.4–1.2)
11	0.5	(0.2–1.2)	1.2	(0.7–2.1)	0.8	(0.5–1.3)
12	1.4	(0.8–2.6)	2.0	(1.2–3.3)	1.7	(1.2–2.5)
Sexual identity
Heterosexual (straight)	0.5	(0.3–0.8)	1.0	(0.7–1.4)	0.8	(0.6–1.0)
Gay, lesbian, or bisexual	0.8	(0.4–1.5)	2.0	(0.6–5.9)	1.1	(0.6–2.0)
Not sure	1.9	(0.4–8.4)	4.7	(1.7–12.6)	3.9	(1.7–8.9)
Sex of sexual contacts
Opposite sex only	0.8	(0.4–1.6)	1.8	(1.3–2.5)	1.4	(1.0–1.9)
Same sex only or both sexes	2.0	(0.9–4.5)	7.7	(3.4–16.3)	3.4	(1.9–6.0)
No sexual contact	0.1	(0.0–0.4)	0.1	(0.0–0.3)	0.1	(0.1–0.2)

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

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**TABLE 85. Percentage of high school students who currently smoked cigars daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	0.5	(0.1–2.4)	0.6	(0.2–2.0)	0.6	(0.2–1.4)	—^§	—	—	—	—	—	—	—	—	—	—	—
Arizona	0.1	(0.0–0.5)	0.3	(0.1–1.0)	0.3	(0.1–0.6)	0.2	(0.1–0.6)	0.5	(0.1–4.4)	0.3	(0.0–2.4)	—	—	—	—	—	—
Arkansas	1.1	(0.3–4.3)	2.6	(1.2–5.6)	1.9	(1.0–3.3)	1.2	(0.5–2.8)	4.7	(1.1–17.4)	5.3	(1.1–21.7)	2.5	(1.1–5.8)	5.0	(1.1–20.4)	0.0	—
California	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	0.7	(0.3–1.9)	2.0	(1.1–3.5)	1.4	(0.9–2.2)	1.2	(0.7–2.1)	2.2	(0.8–5.7)	4.9	(1.2–17.7)	1.8	(1.0–3.3)	6.1	(2.3–15.2)	0.0	—
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	0.3	(0.1–1.1)	0.9	(0.4–2.0)	0.6	(0.3–1.2)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	0.7	(0.3–1.6)	0.9	(0.6–1.5)	0.8	(0.5–1.3)	0.6	(0.4–1.1)	2.2	(0.7–6.5)	0.9	(0.2–5.0)	0.9	(0.5–1.5)	3.7	(1.3–9.9)	0.0	—
Iowa	0.2	(0.0–1.4)	0.7	(0.1–2.9)	0.6	(0.2–1.6)	0.4	(0.1–1.6)	0.0	—	3.3	(0.3–25.6)	0.8	(0.2–3.0)	0.0	—	0.0	—
Kansas	0.2	(0.0–0.6)	1.1	(0.4–3.4)	0.7	(0.2–1.8)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	0.4	(0.1–1.2)	0.7	(0.3–1.3)	0.5	(0.3–1.0)	0.5	(0.3–1.0)	1.1	(0.3–3.7)	0.3	(0.0–2.0)	0.8	(0.4–1.6)	1.0	(0.2–5.8)	0.0	—
Louisiana	1.2	(0.3–4.2)	2.5	(1.3–5.0)	1.9	(1.0–3.4)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	0.4	(0.2–0.7)	1.1	(0.9–1.5)	0.8	(0.6–1.0)	0.6	(0.4–0.8)	0.8	(0.4–1.6)	4.0	(2.7–5.8)	1.1	(0.9–1.4)	2.8	(1.6–4.7)	0.0	—
Maryland	0.6	(0.5–0.8)	1.2	(1.1–1.4)	1.0	(0.9–1.1)	0.6	(0.5–0.7)	1.7	(1.4–2.2)	3.1	(2.3–4.2)	—	—	—	—	—	—
Massachusetts	0.1	(0.0–0.5)	1.1	(0.6–1.9)	0.6	(0.3–1.0)	0.4	(0.2–0.9)	0.3	(0.1–1.5)	4.1	(1.4–11.2)	1.2	(0.6–2.2)	1.2	(0.4–3.6)	0.0	—
Michigan	0.7	(0.3–1.8)	1.2	(0.5–3.2)	1.0	(0.5–2.0)	0.9	(0.4–2.1)	1.3	(0.3–5.9)	2.5	(0.6–9.8)	1.4	(0.4–4.6)	5.3	(1.8–14.6)	0.0	—
Missouri	0.0	—	0.8	(0.2–2.9)	0.4	(0.1–1.5)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	0.4	(0.2–0.9)	1.3	(0.8–2.0)	0.8	(0.6–1.2)	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	0.1	(0.0–0.5)	0.8	(0.3–2.4)	0.4	(0.1–1.2)	0.5	(0.1–1.5)	0.5	(0.1–3.2)	0.0	—	1.0	(0.3–3.4)	0.7	(0.1–5.3)	0.1	(0.0–0.6)
Nevada	0.3	(0.1–1.5)	0.4	(0.1–1.6)	0.5	(0.2–1.4)	0.4	(0.1–1.0)	0.7	(0.1–5.8)	2.5	(0.3–18.7)	0.8	(0.3–2.2)	1.0	(0.1–7.7)	0.0	—
New Hampshire	0.5	(0.4–0.8)	1.5	(1.2–1.9)	1.1	(0.9–1.4)	0.7	(0.6–1.0)	1.8	(1.1–3.0)	6.0	(4.0–8.7)	1.1	(0.8–1.5)	7.2	(5.2–10.0)	0.1	(0.0–0.2)
New Mexico	0.9	(0.4–2.1)	1.4	(0.9–2.2)	1.2	(0.8–1.9)	0.8	(0.5–1.4)	3.3	(1.9–5.8)	4.3	(2.4–7.6)	1.6	(1.0–2.6)	5.9	(3.6–9.6)	0.0	—
New York	0.5	(0.3–0.8)	0.7	(0.4–1.4)	0.6	(0.4–0.9)	0.4	(0.2–0.8)	1.0	(0.4–2.5)	2.4	(1.0–5.5)	0.8	(0.3–1.9)	3.5	(1.6–7.3)	0.0	—
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	0.2	(0.0–0.8)	0.9	(0.4–2.1)	0.5	(0.3–1.2)	0.4	(0.2–0.9)	0.2	(0.0–1.4)	2.0	(0.3–13.4)	—	—	—	—	—	—
Oklahoma	0.4	(0.1–1.8)	1.0	(0.4–2.1)	0.7	(0.3–1.4)	0.5	(0.2–1.1)	3.0	(1.0–8.4)	0.0	—	0.8	(0.3–2.0)	3.9	(1.2–11.4)	0.0	—
Pennsylvania	0.3	(0.1–1.1)	0.6	(0.3–1.4)	0.6	(0.3–1.0)	0.6	(0.4–1.1)	0.0	—	0.7	(0.1–3.4)	0.9	(0.5–1.9)	0.5	(0.2–1.7)	0.0	—
Rhode Island	0.9	(0.3–2.8)	1.0	(0.3–3.5)	1.1	(0.6–2.0)	0.8	(0.4–1.8)	0.4	(0.0–3.1)	7.6	(1.8–26.5)	2.0	(0.9–4.4)	2.1	(0.6–6.7)	0.0	—
South Carolina	0.4	(0.2–0.8)	2.6	(1.4–4.7)	1.6	(1.1–2.4)	0.9	(0.5–1.8)	3.6	(0.8–14.2)	4.0	(0.4–27.8)	1.1	(0.4–2.9)	5.5	(1.4–18.9)	0.2	(0.0–1.6)
Tennessee	0.9	(0.5–1.5)	1.9	(1.0–3.6)	1.5	(1.0–2.2)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	0.5	(0.1–1.8)	1.5	(0.8–3.0)	1.0	(0.6–1.8)	1.1	(0.6–2.0)	0.2	(0.0–1.8)	0.0	—	2.0	(1.1–3.6)	1.4	(0.3–7.3)	0.0	—
Utah	0.1	(0.0–0.8)	0.4	(0.1–1.1)	0.3	(0.1–0.7)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	0.4	(0.3–0.6)	1.6	(1.4–1.8)	1.1	(1.0–1.2)	0.8	(0.7–1.0)	1.5	(1.0–2.1)	4.4	(3.2–5.9)	1.1	(0.9–1.4)	4.6	(3.6–6.0)	0.1	(0.0–0.2)
Virginia	0.5	(0.2–1.3)	1.3	(0.7–2.3)	0.9	(0.6–1.6)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	0.8	(0.4–1.6)	3.8	(2.5–5.6)	2.4	(1.6–3.4)	2.1	(1.3–3.4)	4.0	(1.2–12.2)	0.9	(0.1–6.9)	3.5	(2.2–5.4)	4.4	(1.4–12.8)	0.0	—
Wisconsin	0.2	(0.1–0.7)	0.3	(0.1–1.0)	0.3	(0.1–0.6)	0.2	(0.1–0.5)	0.3	(0.0–2.7)	2.3	(0.5–10.2)	0.5	(0.2–1.2)	1.2	(0.3–5.2)	0.0	—
Median	0.4		1.1		0.8		0.6		1.1		2.5		1.1		3.5		0.0
Range	0.0–1.2		0.3–3.8		0.3–2.4		0.2–2.1		0.0–4.7		0.0–7.6		0.5–3.5		0.0–7.2		0.0–0.2
Large urban school district surveys
Baltimore, MD	0.0	—	2.0	(0.8–5.0)	1.0	(0.4–2.6)	0.6	(0.2–2.1)	2.3	(0.6–8.7)	0.0	—	0.7	(0.2–2.7)	4.1	(1.4–11.6)	0.0	—
Boston, MA	0.3	(0.1–1.4)	0.4	(0.1–1.3)	0.5	(0.2–1.0)	0.2	(0.0–0.6)	1.7	(0.4–6.8)	2.1	(0.4–11.6)	0.3	(0.1–1.3)	1.7	(0.4–7.1)	0.2	(0.0–1.4)
Broward County, FL	0.0	—	0.5	(0.1–3.7)	0.3	(0.1–1.8)	0.3	(0.0–2.5)	0.0	—	0.8	(0.1–6.4)	0.7	(0.1–4.7)	0.0	—	0.0	—
Chicago, IL	0.1	(0.0–0.9)	0.7	(0.2–1.9)	0.4	(0.2–1.0)	0.3	(0.1–0.9)	0.8	(0.2–3.7)	0.0	—	0.5	(0.1–1.9)	0.7	(0.1–6.0)	0.0	—
Cleveland, OH	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
DeKalb County, GA	0.7	(0.3–1.7)	1.5	(0.8–2.6)	1.1	(0.6–1.8)	0.9	(0.5–1.6)	2.4	(0.8–6.9)	1.7	(0.2–11.2)	1.4	(0.8–2.5)	4.4	(1.8–10.6)	0.2	(0.0–1.4)
Detroit, MI	0.1	(0.0–0.8)	0.9	(0.4–2.4)	0.5	(0.2–1.2)	0.5	(0.2–1.3)	0.5	(0.1–3.5)	0.0	—	0.7	(0.2–2.2)	1.4	(0.2–8.8)	0.2	(0.0–1.7)
District of Columbia	0.4	(0.3–0.6)	0.9	(0.6–1.4)	0.7	(0.5–0.9)	0.6	(0.4–0.8)	0.8	(0.4–1.3)	2.2	(1.1–4.5)	1.0	(0.7–1.4)	1.4	(0.8–2.4)	0.1	(0.0–0.3)
Duval County, FL	0.3	(0.2–0.7)	1.2	(0.7–2.0)	1.0	(0.7–1.5)	0.6	(0.3–0.9)	1.0	(0.4–2.5)	2.8	(1.1–6.9)	0.7	(0.3–1.4)	2.4	(1.3–4.5)	0.0	—
Ft. Worth, TX	0.1	(0.0–0.4)	1.1	(0.7–1.7)	0.7	(0.4–1.1)	0.6	(0.4–1.0)	0.5	(0.1–2.1)	1.2	(0.3–4.9)	1.2	(0.7–2.1)	1.7	(0.7–4.0)	0.0	—
Houston, TX	0.4	(0.2–0.9)	1.2	(0.7–2.0)	0.8	(0.5–1.3)	0.5	(0.3–0.9)	1.3	(0.6–2.9)	3.2	(1.0–10.1)	0.8	(0.4–1.6)	4.5	(2.2–8.9)	0.1	(0.0–0.5)
Los Angeles, CA	0.3	(0.0–2.5)	1.0	(0.4–2.4)	0.7	(0.3–1.6)	0.6	(0.2–1.4)	3.0	(0.5–15.5)	0.0	—	1.1	(0.4–3.1)	4.0	(0.8–18.4)	0.0	—
Miami-Dade County, FL	0.2	(0.1–0.4)	0.6	(0.3–1.3)	0.4	(0.2–0.8)	0.2	(0.1–0.5)	0.7	(0.2–2.4)	4.0	(1.0–15.6)	0.3	(0.1–0.7)	2.6	(0.9–7.0)	0.0	—
New York City, NY	0.2	(0.1–0.5)	1.0	(0.7–1.3)	0.7	(0.5–0.9)	0.5	(0.3–0.8)	1.4	(0.8–2.5)	1.1	(0.6–2.0)	1.0	(0.6–1.5)	2.9	(1.7–4.7)	0.1	(0.0–0.3)
Oakland, CA	0.6	(0.3–1.4)	0.9	(0.5–1.7)	0.8	(0.5–1.2)	0.7	(0.4–1.2)	1.9	(0.7–5.2)	0.0	—	1.5	(0.8–2.7)	3.4	(1.4–8.2)	0.0	—
Orange County, FL	0.6	(0.2–1.6)	1.1	(0.5–2.4)	0.9	(0.5–1.7)	0.5	(0.2–1.2)	2.2	(0.7–6.6)	0.0	—	0.6	(0.2–1.8)	4.1	(1.6–10.0)	0.0	—
Palm Beach County, FL	0.4	(0.1–1.0)	0.8	(0.4–1.6)	0.6	(0.3–1.1)	0.3	(0.1–0.6)	1.8	(0.6–5.0)	3.2	(1.1–8.8)	0.5	(0.2–1.3)	3.5	(1.2–9.7)	0.0	—
Philadelphia, PA	0.9	(0.3–2.4)	0.3	(0.1–0.9)	0.6	(0.2–1.5)	0.4	(0.1–1.8)	1.0	(0.1–7.4)	1.0	(0.1–7.5)	0.9	(0.2–3.4)	1.6	(0.3–9.3)	0.0	—
San Diego, CA	0.0	—	1.2	(0.6–2.4)	0.6	(0.3–1.2)	0.7	(0.3–1.4)	0.3	(0.0–2.2)	0.0	—	0.8	(0.3–2.0)	1.7	(0.3–9.3)	0.3	(0.1–1.5)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	0.4	(0.1–1.4)	1.0	(0.5–2.2)	0.7	(0.3–1.5)	0.6	(0.3–1.3)	0.4	(0.1–1.7)	2.0	(0.4–9.3)	1.1	(0.5–2.6)	0.9	(0.3–2.7)	0.0	—
Median	0.3		1.0		0.7		0.5		1.0		1.1		0.8		2.4		0.0
Range	0.0–0.9		0.3–2.0		0.3–1.1		0.2–0.9		0.0–3.0		0.0–4.0		0.3–1.5		0.0–4.5		0.0–0.3

* Cigars, cigarillos, or little cigars, on all 30 days during the 30 days before the survey.
^† 95% confidence interval.
^§ Not available.

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TABLE 86. Percentage of high school students who currently smoked cigarettes or cigars,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017
Category	Sex				Total
	Female		Male		Total
	%	CI^†	%	CI	%	CI
Total	10.3	(8.6–12.1)	14.3	(13.0–15.8)	12.3	(11.0–13.8)
Race/Ethnicity
White^§	11.8	(9.1–15.1)	17.5	(15.8–19.3)	14.5	(12.5–16.8)
Black^§	8.0	(5.9–10.7)	10.7	(8.4–13.6)	9.5	(7.9–11.3)
Hispanic	9.0	(7.1–11.3)	10.6	(8.8–12.7)	9.9	(8.5–11.4)
Grade
9	6.6	(4.8–8.9)	8.6	(6.8–10.9)	7.6	(6.2–9.2)
10	8.4	(6.5–10.6)	11.3	(9.7–13.1)	9.8	(8.5–11.4)
11	11.9	(9.2–15.2)	14.8	(12.1–17.9)	13.4	(11.2–15.9)
12	14.6	(11.9–17.7)	23.6	(20.7–26.6)	18.9	(16.6–21.5)
Sexual identity
Heterosexual (straight)	8.9	(7.5–10.4)	14.0	(12.5–15.6)	11.6	(10.4–12.9)
Gay, lesbian, or bisexual	19.0	(15.4–23.2)	21.3	(15.2–29.1)	19.8	(16.5–23.5)
Not sure	12.0	(7.4–18.9)	15.9	(11.4–21.8)	14.7	(10.9–19.6)
Sex of sexual contacts
Opposite sex only	15.7	(13.4–18.3)	23.3	(20.3–26.5)	19.9	(17.5–22.5)
Same sex only or both sexes	30.9	(25.0–37.5)	31.0	(23.7–39.4)	30.9	(25.7–36.7)
No sexual contact	2.4	(1.7–3.4)	3.7	(2.9–4.7)	3.0	(2.5–3.6)

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

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**TABLE 87. Percentage of high school students who currently smoked cigarettes or cigars,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017**
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	12.2	(8.7–16.8)	14.3	(11.5–17.6)	13.4	(11.0–16.2)	—^§	—	—	—	—	—	—	—	—	—	—	—
Arizona	7.2	(5.3–9.8)	11.3	(8.0–15.6)	9.5	(6.9–12.8)	7.7	(5.7–10.5)	21.5	(14.4–30.8)	8.5	(3.2–20.9)	—	—	—	—	—	—
Arkansas	17.1	(12.3–23.2)	21.5	(17.7–25.7)	19.7	(16.0–24.0)	16.3	(12.3–21.2)	37.5	(28.8–47.1)	26.4	(12.0–48.5)	26.4	(20.0–33.9)	36.5	(19.4–57.9)	3.1	(1.8–5.2)
California	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	8.7	(6.9–10.9)	12.1	(9.7–15.0)	10.4	(8.8–12.2)	9.6	(7.8–11.9)	14.8	(10.2–20.9)	16.0	(8.7–27.7)	14.4	(11.9–17.3)	22.1	(15.1–31.1)	3.0	(1.6–5.5)
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	9.4	(7.3–12.0)	12.5	(9.8–16.0)	11.0	(8.8–13.7)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	9.7	(7.8–12.0)	13.4	(10.4–17.2)	11.7	(9.5–14.4)	10.1	(8.0–12.7)	20.7	(14.9–28.0)	10.6	(5.6–19.0)	16.4	(13.1–20.3)	30.2	(22.5–39.1)	3.1	(2.1–4.7)
Iowa	12.3	(8.0–18.4)	12.5	(9.8–15.7)	12.7	(10.3–15.5)	9.8	(7.7–12.3)	37.5	(24.5–52.7)	24.2	(10.4–46.6)	17.3	(11.9–24.4)	45.3	(30.2–61.4)	3.0	(1.8–4.8)
Kansas	7.0	(5.4–9.1)	14.0	(11.5–16.9)	10.6	(9.0–12.4)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	16.4	(12.8–20.8)	19.0	(14.8–24.1)	18.2	(14.8–22.1)	16.3	(12.9–20.4)	32.2	(22.6–43.5)	17.3	(8.9–31.1)	28.4	(23.0–34.4)	41.9	(33.9–50.4)	5.3	(3.4–8.2)
Louisiana	16.2	(12.5–20.8)	17.8	(12.6–24.6)	17.5	(13.6–22.2)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	9.2	(7.8–10.7)	15.1	(13.6–16.7)	12.4	(11.2–13.6)	11.3	(10.0–12.6)	17.6	(15.1–20.3)	18.5	(14.6–23.1)	18.0	(16.1–20.0)	29.4	(25.8–33.4)	2.4	(2.0–2.8)
Maryland	9.9	(9.3–10.6)	14.9	(14.2–15.7)	12.9	(12.3–13.5)	9.6	(9.1–10.1)	25.2	(23.3–27.3)	15.8	(13.8–17.9)	—	—	—	—	—	—
Massachusetts	5.5	(4.1–7.3)	13.8	(11.1–17.1)	9.7	(8.1–11.7)	9.4	(7.7–11.3)	10.3	(7.0–15.0)	12.8	(6.8–22.8)	15.2	(12.1–18.9)	19.9	(13.7–28.1)	2.4	(1.6–3.6)
Michigan	13.2	(9.8–17.6)	15.0	(9.1–23.6)	14.3	(9.8–20.4)	11.8	(7.5–18.0)	31.8	(20.1–46.2)	22.1	(12.7–35.7)	20.7	(13.5–30.4)	37.5	(26.5–50.0)	3.4	(1.6–7.1)
Missouri	10.4	(8.3–12.9)	15.9	(12.0–20.8)	13.2	(10.8–16.1)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	15.0	(13.3–16.9)	20.4	(18.1–22.9)	17.9	(16.4–19.6)	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	8.4	(5.9–11.8)	11.2	(7.9–15.6)	10.2	(7.8–13.2)	8.8	(6.3–12.0)	24.0	(15.9–34.5)	12.9	(5.9–25.9)	16.3	(12.3–21.3)	32.5	(19.6–48.7)	3.3	(1.6–6.7)
Nevada	8.7	(6.2–12.2)	11.4	(9.1–14.1)	10.2	(8.3–12.7)	8.9	(7.0–11.3)	14.1	(9.8–19.7)	20.7	(9.7–38.8)	16.0	(12.7–20.0)	21.8	(13.8–32.6)	2.5	(1.4–4.3)
New Hampshire	9.2	(8.1–10.4)	15.9	(14.5–17.3)	12.8	(11.8–13.9)	12.1	(11.1–13.2)	16.1	(13.6–19.0)	16.8	(13.1–21.3)	19.7	(18.3–21.2)	32.2	(27.6–37.1)	3.0	(2.4–3.6)
New Mexico	11.6	(9.1–14.5)	17.3	(14.8–20.2)	14.6	(12.4–17.0)	11.9	(10.4–13.6)	27.0	(20.6–34.5)	25.9	(19.0–34.2)	21.9	(19.4–24.6)	39.7	(34.0–45.8)	3.1	(2.3–4.1)
New York	7.6	(5.9–9.7)	11.0	(8.7–13.9)	9.8	(7.9–12.0)	7.4	(5.5–9.8)	19.4	(14.8–25.1)	15.2	(12.0–19.1)	15.4	(11.9–19.7)	25.8	(18.0–35.5)	1.7	(0.9–3.1)
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	14.4	(11.7–17.7)	15.8	(12.7–19.5)	15.2	(12.9–17.9)	14.1	(11.6–16.9)	28.7	(22.8–35.5)	7.4	(3.4–15.3)	—	—	—	—	—	—
Oklahoma	13.4	(10.3–17.2)	16.6	(13.1–20.8)	15.0	(12.3–18.1)	13.7	(11.1–16.8)	26.3	(18.0–36.6)	21.3	(12.0–35.1)	24.0	(19.6–29.1)	32.4	(23.4–42.9)	3.4	(2.0–5.5)
Pennsylvania	9.6	(7.9–11.6)	14.5	(12.1–17.3)	12.1	(10.7–13.7)	11.4	(9.8–13.1)	21.2	(15.8–27.9)	7.7	(3.8–15.2)	18.7	(16.0–21.7)	29.9	(22.7–38.2)	3.0	(2.2–4.1)
Rhode Island	6.6	(4.2–10.3)	13.4	(10.0–17.9)	10.6	(8.1–13.6)	8.6	(6.3–11.6)	18.2	(10.2–30.5)	25.4	(15.8–38.3)	14.3	(9.3–21.4)	29.5	(18.9–42.9)	1.7	(0.7–3.8)
South Carolina	12.7	(9.9–16.2)	17.6	(14.5–21.2)	15.5	(13.3–18.0)	13.4	(10.5–16.9)	29.9	(22.2–38.9)	10.7	(5.7–19.0)	21.2	(17.1–25.9)	42.5	(30.2–55.9)	3.6	(2.1–6.2)
Tennessee	11.8	(9.1–15.1)	15.5	(13.0–18.3)	14.0	(11.9–16.4)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	7.3	(5.4–9.8)	13.0	(10.6–15.8)	10.4	(8.8–12.2)	9.4	(7.8–11.2)	16.0	(11.0–22.7)	7.5	(4.3–12.7)	16.4	(13.4–19.8)	26.2	(18.0–36.4)	1.6	(0.9–2.6)
Utah	3.6	(2.5–5.4)	5.9	(4.1–8.5)	5.0	(3.6–7.0)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	10.2	(9.6–10.8)	16.3	(15.5–17.0)	13.5	(13.0–14.0)	12.6	(12.1–13.1)	19.7	(18.0–21.6)	14.4	(12.2–16.9)	20.1	(19.3–20.9)	34.6	(32.0–37.3)	1.9	(1.6–2.2)
Virginia	7.2	(5.9–8.7)	11.6	(9.7–13.8)	9.5	(8.3–10.9)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	12.7	(10.1–15.8)	22.2	(18.1–26.9)	17.9	(14.6–21.7)	15.6	(12.7–19.1)	37.7	(29.0–47.1)	19.5	(8.9–37.4)	24.9	(20.7–29.6)	41.6	(29.6–54.6)	3.8	(2.4–6.1)
Wisconsin	8.4	(6.3–11.0)	14.1	(11.5–17.2)	11.3	(9.5–13.4)	10.2	(8.4–12.2)	18.3	(14.0–23.7)	12.9	(7.3–21.9)	16.6	(13.5–20.2)	33.7	(23.4–45.8)	3.3	(2.2–4.9)
Median	9.7		14.5		12.7		10.7		21.4		15.9		18.0		32.4		3.0
Range	3.6–17.1		5.9–22.2		5.0–19.7		7.4–16.3		10.3–37.7		7.4–26.4		14.3–28.4		19.9–45.3		1.6–5.3
Large urban school district surveys
Baltimore, MD	8.5	(5.8–12.2)	13.8	(9.6–19.5)	11.2	(8.6–14.5)	7.5	(4.9–11.3)	19.7	(13.9–27.2)	11.8	(4.0–29.7)	11.9	(7.7–18.0)	30.3	(19.6–43.6)	1.4	(0.4–4.4)
Boston, MA	3.1	(2.2–4.3)	6.8	(4.9–9.3)	5.0	(3.9–6.4)	4.6	(3.4–6.1)	7.4	(3.6–14.7)	8.0	(3.4–17.8)	7.0	(4.9–10.0)	13.3	(7.8–21.7)	0.8	(0.3–2.2)
Broward County, FL	6.6	(3.6–11.7)	10.6	(6.2–17.6)	8.9	(6.0–13.0)	7.4	(4.5–11.9)	17.2	(9.8–28.5)	8.9	(3.9–19.0)	10.6	(6.2–17.7)	25.5	(15.2–39.6)	1.3	(0.3–5.3)
Chicago, IL	9.3	(6.3–13.5)	10.9	(7.6–15.4)	10.4	(7.4–14.4)	7.8	(5.7–10.5)	18.8	(11.4–29.3)	16.2	(8.0–30.1)	11.1	(7.1–17.0)	28.9	(21.8–37.2)	2.7	(1.6–4.8)
Cleveland, OH	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
DeKalb County, GA	6.6	(4.7–9.3)	11.6	(9.2–14.6)	9.1	(7.4–11.1)	7.0	(5.5–8.8)	18.0	(12.7–24.9)	12.0	(6.4–21.4)	12.1	(9.7–14.9)	26.2	(18.2–36.1)	2.2	(1.3–3.8)
Detroit, MI	4.1	(2.8–5.9)	10.0	(7.0–14.0)	7.0	(5.4–9.0)	4.7	(3.3–6.5)	13.5	(8.6–20.5)	14.1	(6.0–29.5)	7.1	(5.0–10.0)	17.3	(11.8–24.6)	1.1	(0.5–2.4)
District of Columbia	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Duval County, FL	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Ft. Worth, TX	6.5	(5.2–8.0)	11.0	(9.2–13.1)	9.0	(7.8–10.5)	7.3	(6.2–8.5)	20.5	(15.9–25.9)	9.8	(5.4–17.1)	13.7	(11.4–16.4)	28.5	(21.9–36.3)	2.0	(1.4–2.8)
Houston, TX	8.9	(7.6–10.4)	10.9	(8.9–13.2)	10.0	(8.7–11.6)	7.6	(6.4–9.0)	20.5	(16.4–25.3)	20.5	(12.9–31.0)	13.9	(11.7–16.4)	31.8	(25.1–39.3)	2.2	(1.6–3.2)
Los Angeles, CA	2.0	(1.2–3.4)	4.7	(3.7–6.1)	3.6	(2.7–4.7)	3.0	(2.3–3.8)	11.7	(4.8–25.6)	3.6	(0.8–15.5)	5.2	(3.6–7.5)	14.6	(6.6–29.3)	0.9	(0.4–2.0)
Miami-Dade County, FL	4.7	(3.6–6.2)	8.5	(6.5–11.0)	7.1	(5.7–8.8)	4.8	(3.6–6.3)	16.2	(11.9–21.7)	23.3	(15.3–33.9)	7.8	(6.0–10.0)	20.9	(14.7–28.9)	1.2	(0.5–2.9)
New York City, NY	5.5	(4.6–6.7)	10.2	(8.4–12.3)	8.3	(7.0–9.9)	5.9	(4.8–7.3)	16.9	(13.6–20.8)	13.2	(11.2–15.5)	11.1	(8.6–14.2)	25.8	(20.6–31.7)	1.6	(1.1–2.4)
Oakland, CA	5.8	(4.4–7.6)	10.7	(8.3–13.8)	8.7	(7.1–10.7)	8.1	(6.6–10.0)	13.4	(8.2–20.9)	6.9	(2.9–15.5)	13.3	(10.7–16.4)	19.7	(13.4–28.1)	2.0	(1.1–3.6)
Orange County, FL	3.4	(2.1–5.6)	10.9	(8.5–13.9)	7.7	(5.9–10.0)	5.8	(4.4–7.7)	14.0	(8.2–22.9)	14.5	(7.0–27.5)	11.9	(9.0–15.5)	14.8	(8.3–25.2)	1.6	(0.7–3.5)
Palm Beach County, FL	5.2	(4.0–6.9)	8.7	(6.7–11.3)	7.3	(6.0–8.8)	5.1	(4.0–6.5)	17.9	(13.1–23.9)	17.5	(11.3–26.1)	9.6	(7.6–12.1)	23.7	(17.5–31.4)	0.8	(0.4–1.8)
Philadelphia, PA	4.7	(3.0–7.4)	8.4	(4.9–14.0)	6.5	(4.1–10.2)	4.7	(3.0–7.5)	12.6	(7.3–21.1)	22.7	(8.0–49.6)	6.6	(4.4–9.7)	22.1	(11.9–37.2)	1.4	(0.7–2.8)
San Diego, CA	5.4	(4.3–6.7)	7.0	(5.5–8.9)	6.2	(5.3–7.3)	6.1	(5.1–7.3)	8.3	(5.1–13.3)	4.4	(1.5–12.3)	10.0	(8.2–12.2)	13.7	(8.4–21.6)	1.3	(0.7–2.3)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	9.0	(7.1–11.2)	11.8	(9.5–14.5)	10.8	(9.1–12.8)	7.8	(6.3–9.6)	21.0	(15.5–27.8)	27.5	(17.2–41.0)	12.6	(10.0–15.6)	25.5	(18.7–33.8)	1.6	(0.8–3.4)
Median	5.5		10.6		8.3		6.1		16.9		13.2		11.1		23.7		1.4
Range	2.0–9.3		4.7–13.8		3.6–11.2		3.0–8.1		7.4–21.0		3.6–27.5		5.2–13.9		13.3–31.8		0.8–2.7

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

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TABLE 88. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017
Category	Sex				Total
	Female		Male		Total
	%	CI^†	%	CI	%	CI
Total	10.7	(8.9–12.7)	17.3	(15.3–19.4)	14.0	(12.2–15.9)
Race/Ethnicity
White^§	12.3	(9.5–15.8)	21.7	(18.9–24.7)	16.8	(14.3–19.7)
Black^§	8.3	(6.1–11.1)	11.9	(9.2–15.1)	10.2	(8.5–12.3)
Hispanic	9.1	(7.2–11.4)	11.9	(9.8–14.3)	10.5	(9.1–12.2)
Grade
9	6.9	(5.0–9.3)	11.4	(9.1–14.2)	9.1	(7.4–11.1)
10	8.7	(6.9–11.0)	14.1	(11.8–16.7)	11.4	(9.6–13.4)
11	12.5	(9.6–16.0)	17.6	(14.7–21.0)	15.1	(12.8–17.7)
12	14.9	(12.2–18.2)	26.9	(23.5–30.6)	20.7	(18.1–23.7)
Sexual identity
Heterosexual (straight)	9.2	(7.8–10.9)	17.2	(15.0–19.6)	13.5	(11.8–15.3)
Gay, lesbian, or bisexual	19.6	(15.8–24.1)	22.3	(15.6–31.0)	20.5	(16.9–24.6)
Not sure	13.1	(8.3–19.9)	16.5	(11.9–22.5)	15.6	(11.6–20.6)
Sex of sexual contacts
Opposite sex only	16.3	(13.9–19.0)	28.0	(24.2–32.0)	22.7	(19.8–25.9)
Same sex only or both sexes	31.5	(25.4–38.2)	32.2	(25.1–40.2)	31.6	(26.4–37.4)
No sexual contact	2.6	(1.8–3.8)	5.2	(4.0–6.7)	3.9	(3.2–4.6)

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

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TABLE 89. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco,^* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	15.1	(12.5–18.0)	18.8	(15.0–23.4)	17.1	(14.7–19.8)	—^§	—	—	—	—	—	—	—	—	—	—	—
Arizona	8.5	(6.6–11.0)	15.7	(12.4–19.8)	12.3	(9.8–15.4)	10.4	(8.2–13.1)	24.9	(16.6–35.6)	13.5	(5.5–29.3)	—	—	—	—	—	—
Arkansas	17.7	(12.9–23.7)	27.3	(22.4–32.8)	23.1	(19.1–27.7)	19.5	(15.0–24.9)	40.6	(32.7–49.0)	27.9	(13.1–49.7)	31.4	(25.1–38.4)	38.0	(20.1–59.9)	4.4	(2.8–6.9)
California	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	9.0	(7.2–11.2)	13.8	(11.2–16.7)	11.4	(9.7–13.2)	10.8	(8.9–13.0)	15.5	(10.8–21.7)	16.6	(9.5–27.3)	15.9	(13.2–19.0)	23.1	(16.0–32.1)	3.3	(1.8–5.8)
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	10.1	(7.8–13.0)	14.8	(11.8–18.4)	12.5	(10.0–15.5)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	10.2	(8.1–12.7)	15.4	(12.0–19.5)	13.0	(10.5–16.0)	11.3	(8.9–14.1)	21.8	(16.0–28.9)	12.6	(7.3–20.9)	18.0	(14.3–22.3)	32.9	(24.8–42.1)	3.4	(2.2–5.1)
Iowa	13.4	(9.0–19.3)	17.2	(13.2–22.1)	15.6	(13.9–17.4)	12.8	(10.6–15.3)	38.9	(26.2–53.2)	27.6	(15.5–44.3)	21.4	(16.6–27.2)	45.5	(30.3–61.6)	4.9	(3.1–7.7)
Kansas	7.5	(5.8–9.5)	17.8	(15.0–21.1)	12.7	(10.9–14.9)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	17.3	(13.8–21.6)	25.3	(20.8–30.4)	21.7	(18.4–25.5)	20.1	(16.8–24.0)	33.2	(23.7–44.3)	20.8	(11.2–35.5)	33.3	(27.9–39.1)	43.6	(36.1–51.4)	7.1	(5.0–10.0)
Louisiana	17.1	(13.1–21.9)	24.0	(17.9–31.3)	21.0	(16.6–26.0)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	9.4	(8.1–10.9)	17.0	(15.5–18.6)	13.5	(12.4–14.8)	12.5	(11.3–13.9)	18.4	(16.0–21.0)	18.7	(14.8–23.4)	19.7	(17.8–21.9)	30.7	(27.1–34.5)	2.6	(2.3–3.1)
Maryland	10.8	(10.1–11.5)	16.9	(16.1–17.7)	14.4	(13.7–15.0)	10.9	(10.4–11.4)	27.2	(25.2–29.3)	17.1	(15.0–19.4)	—	—	—	—	—	—
Massachusetts	6.6	(5.2–8.4)	16.0	(13.1–19.3)	11.4	(9.6–13.4)	11.1	(9.3–13.1)	11.6	(7.7–17.1)	12.8	(6.8–22.8)	17.8	(14.5–21.6)	21.7	(15.0–30.4)	3.0	(2.1–4.1)
Michigan	13.4	(9.9–17.7)	18.7	(13.2–25.9)	16.3	(12.0–21.6)	14.0	(9.9–19.3)	32.6	(20.8–47.2)	23.3	(13.9–36.4)	23.6	(16.6–32.5)	38.7	(27.8–50.9)	4.5	(2.8–7.3)
Missouri	11.8	(9.5–14.6)	19.0	(14.5–24.3)	15.6	(12.8–18.7)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	17.3	(15.2–19.5)	25.1	(22.7–27.6)	21.5	(19.7–23.3)	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	9.0	(6.4–12.6)	14.6	(11.0–18.9)	12.3	(9.7–15.5)	11.0	(8.4–14.2)	24.7	(16.5–35.2)	15.7	(8.4–27.4)	20.4	(16.0–25.6)	34.2	(20.7–50.8)	4.0	(2.1–7.4)
Nevada	9.5	(6.9–12.8)	13.1	(10.7–15.9)	11.5	(9.3–14.3)	9.9	(7.8–12.6)	15.4	(11.1–21.0)	22.0	(10.5–40.3)	18.5	(14.1–23.8)	23.7	(15.7–34.1)	2.6	(1.5–4.6)
New Hampshire	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
New Mexico	13.0	(10.2–16.4)	21.7	(19.2–24.4)	17.5	(15.3–19.9)	14.8	(13.2–16.5)	30.0	(23.2–37.9)	28.3	(21.0–37.0)	25.9	(23.1–28.8)	44.3	(37.9–50.9)	4.5	(3.6–5.7)
New York	8.6	(6.9–10.8)	12.5	(9.9–15.7)	11.1	(9.0–13.6)	8.2	(6.3–10.7)	22.7	(17.8–28.4)	17.8	(14.6–21.6)	17.3	(13.4–22.1)	31.0	(22.7–40.8)	1.9	(1.0–3.3)
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	15.2	(12.3–18.6)	20.8	(17.5–24.6)	18.1	(15.7–20.9)	17.2	(14.7–20.0)	30.1	(24.2–36.6)	10.9	(5.8–19.5)	—	—	—	—	—	—
Oklahoma	15.2	(11.7–19.7)	23.5	(19.7–27.7)	19.5	(16.4–22.9)	18.0	(15.0–21.4)	33.9	(22.3–47.8)	25.5	(14.2–41.6)	30.4	(25.7–35.6)	41.9	(30.3–54.4)	4.6	(2.9–7.0)
Pennsylvania	10.9	(9.1–13.0)	17.8	(14.8–21.3)	14.5	(12.7–16.5)	13.7	(11.8–15.9)	23.7	(18.0–30.5)	8.8	(4.6–16.3)	22.0	(18.6–25.8)	35.5	(27.6–44.2)	3.8	(2.8–5.2)
Rhode Island	6.8	(4.3–10.6)	15.9	(12.4–20.1)	11.9	(9.4–15.0)	9.7	(7.4–12.5)	21.3	(11.5–36.2)	27.6	(17.6–40.5)	16.9	(11.7–23.8)	31.6	(20.7–45.0)	1.9	(0.9–3.9)
South Carolina	13.2	(10.5–16.6)	23.4	(19.9–27.3)	18.8	(16.0–22.0)	16.7	(13.2–21.0)	32.3	(24.8–40.7)	11.2	(6.0–20.0)	26.2	(21.0–32.1)	43.9	(30.7–58.0)	4.5	(2.6–7.8)
Tennessee	12.6	(9.9–15.9)	20.0	(16.8–23.6)	16.7	(14.3–19.3)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	8.3	(6.1–11.3)	16.2	(13.5–19.4)	12.6	(10.7–14.7)	11.5	(9.6–13.8)	17.8	(12.4–25.1)	7.5	(4.3–12.8)	19.9	(16.3–24.0)	27.0	(18.9–37.1)	2.3	(1.4–3.7)
Utah	3.9	(2.6–6.0)	7.1	(5.0–10.1)	5.8	(4.2–8.1)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	10.5	(9.9–11.2)	18.6	(17.9–19.4)	14.8	(14.3–15.3)	14.2	(13.6–14.7)	19.9	(18.2–21.8)	15.3	(13.0–17.8)	22.4	(21.6–23.3)	35.1	(32.4–37.8)	2.2	(1.9–2.6)
Virginia	7.4	(6.2–8.9)	14.1	(11.9–16.6)	10.9	(9.4–12.5)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	13.8	(11.0–17.0)	30.5	(25.9–35.5)	22.7	(19.3–26.5)	20.6	(17.4–24.3)	38.2	(29.5–47.8)	25.5	(12.3–45.5)	33.1	(28.7–37.9)	43.5	(31.4–56.5)	4.9	(3.3–7.1)
Wisconsin	8.5	(6.4–11.3)	17.6	(14.6–21.1)	13.2	(11.2–15.5)	12.0	(10.1–14.3)	19.4	(14.7–25.1)	16.8	(10.9–24.9)	19.2	(15.8–23.1)	34.5	(24.3–46.4)	4.4	(3.1–6.3)
Median	10.6		17.7		14.4		12.5		24.7		17.1		20.9		34.8		3.9
Range	3.9–17.7		7.1–30.5		5.8–23.1		8.2–20.6		11.6–40.6		7.5–28.3		15.9–33.3		21.7–45.5		1.9–7.1
Large urban school district surveys
Baltimore, MD	10.8	(7.8–14.6)	16.3	(11.5–22.5)	13.6	(10.7–17.2)	8.8	(6.0–12.9)	24.9	(17.4–34.2)	15.0	(6.0–32.5)	14.0	(9.7–19.9)	34.4	(23.2–47.6)	1.5	(0.5–4.4)
Boston, MA	3.7	(2.6–5.2)	8.1	(5.9–11.1)	6.0	(4.7–7.7)	5.7	(4.3–7.5)	7.5	(3.6–14.8)	8.5	(3.8–18.2)	8.5	(6.0–11.9)	14.2	(8.7–22.3)	0.8	(0.3–2.2)
Broward County, FL	6.6	(3.6–11.7)	12.6	(7.8–19.6)	9.9	(6.8–14.1)	8.0	(5.1–12.4)	21.7	(10.9–38.4)	8.9	(3.9–19.0)	11.8	(7.3–18.5)	30.4	(16.9–48.5)	1.3	(0.3–5.3)
Chicago, IL	10.1	(6.8–14.9)	12.7	(9.0–17.5)	11.8	(8.4–16.2)	8.8	(6.5–11.8)	20.3	(12.0–32.2)	18.9	(9.9–33.0)	12.0	(7.7–18.3)	33.1	(25.3–42.0)	3.1	(1.7–5.6)
Cleveland, OH	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
DeKalb County, GA	6.7	(4.8–9.3)	12.4	(9.8–15.5)	9.5	(7.8–11.6)	7.3	(5.8–9.1)	19.4	(13.5–27.3)	14.1	(7.9–24.1)	12.5	(10.1–15.5)	26.2	(18.2–36.1)	2.4	(1.4–4.1)
Detroit, MI	4.5	(3.2–6.2)	11.1	(7.8–15.4)	7.7	(6.0–9.9)	5.1	(3.7–6.9)	15.9	(10.5–23.3)	14.1	(6.0–29.5)	8.2	(6.0–11.2)	17.6	(12.0–24.9)	1.3	(0.7–2.5)
District of Columbia	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Duval County, FL	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Ft. Worth, TX	7.0	(5.7–8.6)	12.3	(10.3–14.6)	10.0	(8.6–11.5)	8.1	(6.9–9.4)	22.4	(17.7–28.0)	10.0	(5.5–17.4)	14.6	(12.3–17.3)	30.1	(23.2–38.0)	2.3	(1.5–3.3)
Houston, TX	9.2	(7.8–10.8)	11.9	(9.8–14.4)	10.8	(9.4–12.5)	8.2	(6.9–9.7)	22.3	(17.7–27.6)	21.1	(13.4–31.5)	15.1	(12.7–17.9)	32.4	(25.6–39.9)	2.4	(1.7–3.4)
Los Angeles, CA	3.3	(2.2–4.8)	5.1	(3.7–6.8)	4.3	(3.2–5.8)	3.8	(2.9–5.0)	11.7	(4.8–25.6)	3.7	(0.8–15.7)	5.8	(3.8–8.8)	18.5	(10.3–31.1)	1.2	(0.6–2.4)
Miami-Dade County, FL	5.0	(3.8–6.6)	9.9	(7.6–12.9)	8.0	(6.4–10.0)	5.2	(4.0–6.8)	19.7	(14.2–26.8)	23.8	(15.6–34.5)	8.9	(6.9–11.5)	23.4	(16.0–32.8)	1.4	(0.6–3.0)
New York City, NY	6.6	(5.6–7.7)	11.5	(9.6–13.7)	9.5	(8.2–11.0)	6.8	(5.7–8.2)	19.1	(15.9–22.8)	14.9	(12.8–17.4)	12.6	(10.2–15.5)	27.5	(22.2–33.6)	1.9	(1.4–2.7)
Oakland, CA	6.6	(5.0–8.6)	12.2	(9.6–15.3)	9.9	(8.2–11.9)	9.2	(7.6–11.1)	15.3	(9.7–23.4)	8.4	(4.0–16.9)	14.1	(11.5–17.2)	20.9	(14.6–29.0)	2.8	(1.6–4.7)
Orange County, FL	3.4	(2.1–5.6)	11.7	(9.1–14.8)	8.1	(6.2–10.4)	6.1	(4.5–8.1)	15.1	(9.1–24.0)	15.6	(7.6–29.3)	12.4	(9.3–16.2)	15.5	(8.9–25.7)	1.6	(0.7–3.5)
Palm Beach County, FL	6.2	(4.8–8.1)	10.4	(8.3–13.0)	8.6	(7.3–10.2)	5.9	(4.7–7.4)	21.0	(15.9–27.1)	21.7	(14.3–31.5)	11.1	(9.0–13.6)	27.9	(21.2–35.8)	1.2	(0.6–2.2)
Philadelphia, PA	5.2	(3.2–8.5)	9.0	(5.5–14.4)	7.1	(4.5–11.1)	5.0	(3.2–7.7)	13.5	(8.5–20.8)	22.7	(8.0–49.6)	7.2	(5.1–10.1)	24.2	(12.4–41.8)	1.4	(0.7–2.8)
San Diego, CA	5.7	(4.6–7.1)	7.8	(6.1–9.9)	6.8	(5.8–8.0)	6.6	(5.5–8.0)	8.7	(5.4–13.8)	6.2	(2.9–12.6)	11.2	(9.0–13.9)	14.2	(8.8–21.9)	1.4	(0.8–2.4)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	9.9	(8.0–12.2)	13.8	(11.4–16.7)	12.5	(10.8–14.5)	8.7	(7.0–10.6)	24.9	(19.4–31.3)	29.3	(18.6–42.9)	13.6	(11.0–16.6)	29.1	(21.7–37.9)	1.8	(0.9–3.6)
Median	6.6		11.7		9.5		6.8		19.4		14.9		12.0		26.2		1.5
Range	3.3–10.8		5.1–16.3		4.3–13.6		3.8–9.2		7.5–24.9		3.7–29.3		5.8–15.1		14.2–34.4		0.8–3.1

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

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TABLE 90. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco or an electronic vapor product,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017
Category	Sex				Total
	Female		Male		Total
	%	CI^†	%	CI	%	CI
Total	15.6	(13.5–17.9)	23.4	(20.9–26.1)	19.5	(17.3–21.9)
Race/Ethnicity
White^§	17.2	(13.6–21.4)	28.1	(24.8–31.6)	22.4	(19.2–25.9)
Black^§	13.2	(9.7–17.9)	16.2	(12.4–20.9)	14.9	(11.9–18.4)
Hispanic	14.6	(11.9–17.8)	18.5	(15.7–21.7)	16.6	(14.3–19.3)
Grade
9	10.9	(8.5–13.8)	16.3	(13.5–19.6)	13.6	(11.4–16.2)
10	13.3	(10.9–16.2)	19.6	(16.7–22.9)	16.4	(14.1–19.0)
11	17.8	(14.3–21.9)	24.3	(20.5–28.6)	21.1	(18.1–24.5)
12	20.8	(17.7–24.3)	34.5	(30.2–39.1)	27.5	(24.3–30.9)
Sexual identity
Heterosexual (straight)	14.1	(12.3–16.1)	23.6	(20.9–26.6)	19.2	(17.1–21.4)
Gay, lesbian, or bisexual	27.5	(22.4–33.3)	26.0	(18.5–35.3)	27.2	(22.7–32.2)
Not sure	16.5	(11.0–24.0)	19.1	(13.6–26.2)	18.7	(14.2–24.2)
Sex of sexual contacts
Opposite sex only	24.4	(21.5–27.7)	39.0	(34.7–43.5)	32.5	(29.0–36.2)
Same sex only or both sexes	42.2	(35.0–49.8)	39.1	(31.6–47.1)	41.5	(35.8–47.4)
No sexual contact	4.5	(3.4–5.9)	7.0	(5.7–8.6)	5.7	(4.9–6.7)

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

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TABLE 91. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco or an electronic vapor product,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	25.6	(22.1–29.5)	25.9	(21.5–30.9)	25.9	(22.8–29.2)	—^§	—	—	—	—	—	—	—	—	—	—	—
Arizona	17.5	(13.8–22.0)	25.5	(20.0–31.9)	21.6	(17.4–26.4)	18.9	(14.9–23.6)	41.5	(31.5–52.2)	15.8	(6.9–32.1)	—	—	—	—	—	—
Arkansas	20.3	(15.3–26.4)	31.0	(25.8–36.8)	26.3	(22.1–30.9)	22.3	(17.5–28.0)	45.7	(38.3–53.3)	29.9	(14.2–52.4)	35.7	(28.6–43.5)	44.9	(25.5–66.0)	5.5	(3.9–7.8)
California	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	17.2	(14.9–19.8)	21.8	(18.9–25.0)	19.4	(17.5–21.5)	19.0	(16.7–21.6)	23.3	(17.1–30.8)	22.0	(13.4–34.0)	27.7	(24.5–31.3)	32.2	(24.1–41.5)	7.4	(5.5–9.9)
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	15.9	(12.9–19.4)	20.9	(17.1–25.3)	18.5	(15.4–22.1)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	16.2	(12.5–20.7)	20.5	(16.3–25.4)	18.6	(14.9–23.0)	16.3	(12.8–20.6)	33.7	(25.5–42.9)	15.5	(8.6–26.3)	26.8	(21.3–33.0)	50.0	(38.9–61.0)	5.6	(3.4–9.0)
Iowa	18.1	(13.2–24.3)	21.1	(16.2–27.1)	19.9	(17.0–23.1)	16.6	(12.9–21.1)	47.2	(34.0–60.8)	29.3	(16.1–47.2)	27.4	(21.4–34.3)	57.5	(48.9–65.7)	7.0	(4.6–10.5)
Kansas	11.6	(9.4–14.2)	22.4	(18.9–26.3)	17.1	(14.7–19.8)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	20.8	(16.9–25.4)	30.3	(25.4–35.8)	26.0	(22.3–30.1)	24.2	(20.5–28.4)	40.1	(29.1–52.1)	22.5	(12.1–38.0)	40.3	(34.9–46.1)	51.5	(43.2–59.7)	8.8	(6.5–11.9)
Louisiana	20.7	(16.5–25.6)	28.8	(22.8–35.8)	25.2	(20.7–30.4)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	18.2	(16.6–19.9)	26.1	(24.2–28.1)	22.5	(21.0–24.1)	21.7	(20.0–23.4)	27.3	(24.2–30.5)	23.7	(19.2–28.8)	33.6	(31.5–35.9)	43.5	(39.6–47.4)	5.8	(5.3–6.4)
Maryland	18.5	(17.6–19.4)	23.5	(22.6–24.5)	21.6	(20.7–22.4)	17.8	(17.1–18.5)	36.8	(34.4–39.1)	21.9	(19.6–24.4)	—	—	—	—	—	—
Massachusetts	21.2	(18.7–23.9)	27.8	(24.1–31.8)	24.6	(22.0–27.3)	24.2	(21.5–27.0)	28.9	(23.9–34.6)	21.2	(12.9–32.8)	37.8	(33.1–42.7)	45.4	(38.8–52.2)	8.7	(7.3–10.3)
Michigan	20.4	(15.1–27.1)	24.8	(18.3–32.6)	22.8	(17.4–29.3)	20.6	(15.3–27.1)	39.2	(25.6–54.8)	27.0	(16.2–41.3)	35.7	(26.8–45.7)	48.9	(35.6–62.3)	7.2	(4.6–11.2)
Missouri	16.3	(13.1–20.1)	24.9	(20.1–30.5)	20.8	(17.3–24.8)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	29.2	(26.8–31.8)	35.5	(32.8–38.4)	32.7	(30.6–34.8)	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	12.6	(9.3–16.9)	18.3	(14.5–22.9)	16.1	(13.1–19.5)	14.5	(11.6–18.0)	32.4	(22.9–43.8)	18.2	(9.5–32.0)	26.9	(21.8–32.8)	47.3	(32.7–62.3)	6.1	(3.9–9.5)
Nevada	19.3	(15.5–23.7)	22.9	(19.2–27.1)	21.4	(18.0–25.2)	20.0	(16.7–23.8)	25.2	(20.0–31.3)	27.2	(14.7–44.7)	34.9	(29.7–40.4)	35.5	(24.3–48.6)	7.3	(4.8–10.8)
New Hampshire	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
New Mexico	27.9	(25.0–30.9)	35.6	(31.8–39.7)	31.9	(28.9–35.0)	29.9	(27.5–32.5)	42.6	(34.3–51.4)	36.0	(28.3–44.5)	46.7	(43.3–50.2)	59.1	(53.3–64.6)	13.5	(11.8–15.4)
New York	17.5	(15.5–19.6)	20.0	(16.8–23.6)	19.3	(16.8–22.0)	16.0	(13.5–19.0)	32.1	(27.6–37.1)	25.7	(22.5–29.1)	31.1	(26.7–36.0)	46.3	(40.5–52.2)	5.6	(4.4–7.3)
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	26.1	(22.5–30.0)	31.1	(27.1–35.5)	28.8	(25.5–32.2)	28.0	(24.6–31.6)	41.1	(33.7–49.0)	18.0	(10.2–29.6)	—	—	—	—	—	—
Oklahoma	21.9	(17.2–27.5)	29.0	(24.4–34.1)	25.6	(21.7–29.9)	23.7	(19.8–28.1)	46.4	(32.9–60.3)	28.2	(16.1–44.6)	40.0	(33.7–46.6)	59.2	(46.1–71.1)	6.5	(4.7–9.0)
Pennsylvania	15.0	(12.8–17.4)	22.2	(18.8–26.1)	18.7	(16.5–21.2)	17.8	(15.4–20.6)	29.0	(22.4–36.7)	13.0	(7.7–21.2)	29.5	(25.3–34.1)	46.1	(38.1–54.2)	5.4	(4.2–6.9)
Rhode Island	20.9	(16.3–26.5)	29.7	(26.0–33.8)	25.9	(22.2–30.0)	24.3	(21.1–27.9)	34.7	(22.5–49.4)	32.6	(22.4–44.8)	37.0	(28.7–46.2)	52.0	(37.6–66.1)	10.1	(8.0–12.7)
South Carolina	16.3	(13.5–19.6)	26.1	(22.4–30.1)	21.6	(18.6–24.9)	19.2	(15.6–23.4)	36.8	(29.2–45.1)	15.9	(8.9–26.9)	30.3	(24.5–36.8)	52.2	(37.8–66.2)	6.1	(4.1–8.8)
Tennessee	16.2	(12.9–20.2)	23.5	(19.9–27.5)	20.3	(17.8–23.1)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	11.9	(8.9–15.7)	21.1	(18.4–24.2)	16.8	(14.5–19.4)	15.7	(13.3–18.4)	23.6	(16.8–32.1)	8.5	(4.8–14.7)	27.4	(23.1–32.1)	36.5	(25.2–49.5)	3.8	(2.6–5.7)
Utah	7.9	(5.7–10.8)	10.9	(7.7–15.1)	9.7	(7.3–12.8)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	14.1	(13.4–14.8)	23.1	(22.2–23.9)	18.9	(18.4–19.5)	18.3	(17.7–18.9)	24.4	(22.5–26.4)	17.4	(15.0–20.1)	29.6	(28.6–30.6)	42.7	(39.8–45.6)	3.2	(2.8–3.6)
Virginia	13.8	(11.7–16.2)	18.6	(15.8–21.9)	16.3	(14.3–18.5)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	17.4	(14.5–20.8)	34.8	(29.6–40.4)	26.6	(22.9–30.6)	24.3	(20.7–28.3)	43.5	(33.8–53.7)	29.6	(14.4–51.2)	38.9	(34.2–43.7)	52.9	(40.2–65.3)	5.4	(3.8–7.7)
Wisconsin	12.2	(9.7–15.2)	21.8	(18.2–25.9)	17.3	(14.8–20.1)	16.1	(13.6–18.9)	23.2	(18.2–29.1)	19.7	(13.5–27.7)	26.9	(22.7–31.7)	40.0	(28.9–52.3)	5.8	(4.0–8.1)
Median	17.5		24.1		21.5		19.2		34.7		22.0		32.4		46.8		6.1
Range	7.9–29.2		10.9–35.6		9.7–32.7		14.5–29.9		23.2–47.2		8.5–36.0		26.8–46.7		32.2–59.2		3.2–13.5
Large urban school district surveys
Baltimore, MD	13.2	(9.8–17.5)	19.9	(14.6–26.4)	16.6	(13.3–20.4)	11.5	(8.3–15.7)	27.9	(19.4–38.4)	15.3	(6.3–32.8)	18.3	(13.3–24.6)	38.8	(26.7–52.5)	2.5	(1.0–5.7)
Boston, MA	8.3	(6.4–10.7)	9.9	(7.4–13.0)	9.2	(7.6–11.2)	8.0	(6.4–9.9)	18.8	(12.5–27.4)	11.3	(5.2–22.6)	12.3	(9.5–15.8)	20.8	(13.8–30.2)	2.2	(1.2–4.0)
Broward County, FL	11.0	(6.9–16.9)	16.6	(11.1–24.0)	14.1	(10.4–18.9)	12.4	(8.9–17.2)	25.1	(13.0–42.9)	10.0	(4.4–21.2)	19.5	(13.8–26.7)	34.2	(19.7–52.4)	3.0	(1.5–6.0)
Chicago, IL	12.2	(8.2–17.8)	15.9	(11.7–21.1)	14.5	(10.6–19.4)	11.2	(8.4–14.9)	24.7	(15.4–37.0)	21.1	(11.5–35.6)	16.2	(10.8–23.6)	39.5	(30.4–49.3)	4.0	(2.3–6.8)
Cleveland, OH	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
DeKalb County, GA	8.8	(6.6–11.6)	16.3	(13.3–19.8)	12.5	(10.6–14.7)	9.7	(7.9–11.8)	26.3	(20.1–33.7)	18.6	(10.9–30.0)	16.7	(13.9–19.9)	32.7	(23.9–42.9)	4.0	(2.5–6.2)
Detroit, MI	8.2	(6.4–10.4)	13.7	(9.9–18.7)	11.0	(8.7–13.8)	7.8	(5.8–10.4)	21.9	(14.6–31.5)	16.6	(7.6–32.6)	12.2	(9.1–16.2)	22.1	(15.6–30.4)	3.3	(1.9–5.6)
District of Columbia	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Duval County, FL	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Ft. Worth, TX	10.1	(8.5–11.9)	15.6	(13.4–18.2)	13.2	(11.7–14.9)	10.9	(9.4–12.6)	29.6	(23.7–36.3)	12.2	(6.9–20.6)	19.8	(17.0–23.0)	38.7	(30.3–47.9)	3.6	(2.6–4.9)
Houston, TX	12.0	(10.4–13.8)	15.5	(13.1–18.2)	14.0	(12.3–15.9)	11.1	(9.6–12.8)	25.0	(20.1–30.7)	24.9	(16.4–35.8)	20.6	(17.6–24.1)	37.4	(30.0–45.4)	3.6	(2.7–4.7)
Los Angeles, CA	5.2	(3.4–7.8)	8.7	(7.0–10.8)	7.1	(5.5–9.1)	6.6	(5.2–8.3)	16.6	(7.8–31.9)	4.0	(0.8–17.9)	9.8	(7.1–13.3)	24.6	(14.5–38.7)	2.5	(1.3–4.6)
Miami-Dade County, FL	8.5	(6.7–10.8)	14.9	(12.1–18.3)	12.3	(10.4–14.5)	8.8	(7.3–10.7)	27.5	(21.2–34.8)	26.9	(17.5–38.9)	15.5	(13.0–18.5)	35.7	(27.1–45.3)	2.4	(1.3–4.2)
New York City, NY	19.1	(17.4–21.0)	22.7	(20.5–25.0)	21.4	(19.8–23.1)	18.6	(16.9–20.4)	34.9	(30.9–39.0)	24.9	(22.2–27.7)	30.8	(27.3–34.5)	43.7	(39.6–48.0)	10.0	(9.0–11.3)
Oakland, CA	14.0	(11.8–16.5)	19.7	(16.7–23.2)	17.3	(15.1–19.8)	16.3	(14.0–18.8)	27.0	(20.4–34.8)	15.4	(8.7–25.8)	25.2	(21.4–29.4)	30.6	(22.4–40.4)	6.6	(5.0–8.8)
Orange County, FL	8.7	(6.2–12.0)	17.3	(14.0–21.2)	13.6	(11.1–16.7)	10.8	(8.5–13.6)	23.8	(16.3–33.4)	26.7	(15.0–43.0)	20.7	(16.3–25.9)	30.5	(20.9–42.1)	3.9	(2.2–6.8)
Palm Beach County, FL	12.2	(9.9–15.1)	15.4	(12.7–18.6)	14.2	(12.3–16.2)	10.9	(9.1–13.1)	28.5	(22.1–35.9)	27.2	(18.5–38.2)	22.1	(18.5–26.0)	40.2	(31.8–49.2)	2.1	(1.3–3.4)
Philadelphia, PA	8.9	(5.6–13.7)	11.6	(7.6–17.2)	10.2	(7.0–14.8)	7.2	(5.1–10.1)	21.0	(15.0–28.6)	30.6	(10.2–63.0)	10.7	(8.2–13.8)	35.2	(20.7–53.1)	2.7	(1.6–4.7)
San Diego, CA	10.1	(8.2–12.4)	12.3	(9.8–15.2)	11.3	(9.7–13.0)	11.3	(9.6–13.2)	13.1	(8.9–18.9)	9.3	(5.1–16.1)	20.1	(16.6–24.0)	23.3	(16.4–31.8)	2.4	(1.6–3.6)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	11.9	(9.6–14.7)	16.1	(13.4–19.1)	14.7	(12.6–17.1)	10.5	(8.6–12.7)	27.8	(22.1–34.4)	32.6	(20.3–48.0)	16.9	(13.6–20.8)	31.6	(23.6–40.8)	2.5	(1.3–4.6)
Median	10.1		15.6		13.6		10.9		25.1		18.6		18.3		34.2		3.0
Range	5.2–19.1		8.7–22.7		7.1–21.4		6.6–18.6		13.1–34.9		4.0–32.6		9.8–30.8		20.8–43.7		2.1–10.0

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

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TABLE 92. Percentage of high school students who ever tried to quit using all tobacco products,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017
Category	Sex				Total
	Female		Male		Total
	%	CI^†	%	CI	%	CI
Total	47.7	(43.5–52.1)	36.8	(33.8–39.8)	41.4	(38.9–44.0)
Race/Ethnicity
White^§	51.8	(46.1–57.4)	36.6	(33.2–40.2)	42.8	(39.4–46.3)
Black^§	33.0	(23.9–43.5)	31.0	(23.6–39.4)	32.2	(25.8–39.4)
Hispanic	47.9	(39.8–56.2)	38.5	(32.4–45.1)	42.8	(38.2–47.5)
Grade
9	41.4	(31.8–51.6)	43.9	(37.9–50.0)	42.8	(38.5–47.1)
10	49.2	(40.8–57.7)	38.7	(33.3–44.4)	43.5	(38.4–48.8)
11	52.2	(42.9–61.4)	35.3	(30.0–41.0)	42.7	(36.9–48.7)
12	47.4	(40.6–54.3)	32.3	(26.9–38.3)	38.4	(34.3–42.7)
Sexual identity
Heterosexual (straight)	45.2	(39.6–50.9)	36.2	(33.4–39.1)	39.4	(36.9–41.9)
Gay, lesbian, or bisexual	53.7	(47.0–60.2)	47.9	(32.4–63.9)	53.0	(47.3–58.6)
Not sure	69.2	(54.0–81.1)	23.7	(10.2–45.9)	47.6	(37.6–57.7)
Sex of sexual contacts
Opposite sex only	49.8	(44.2–55.5)	36.3	(33.2–39.5)	41.0	(38.1–44.1)
Same sex only or both sexes	51.8	(44.8–58.7)	41.3	(28.3–55.7)	49.6	(43.3–56.0)
No sexual contact	48.0	(37.4–58.7)	37.2	(29.8–45.2)	41.9	(36.6–47.3)

* Including cigarettes, cigars, smokeless tobacco, shisha or hookah tobacco, and electronic vapor products, during the 12 months before the survey, among the 24.2% of students nationwide who used any tobacco products during the 12 months before the survey.
^† 95% confidence interval.
^§ Non-Hispanic.

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TABLE 93. Percentage of high school students who ever tried to quit using all tobacco products,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017
Site	Sex				Total		Sexual identity						Sex of sexual contacts
	Female		Male		Total		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	41.4	(30.5–53.3)	48.1	(36.2–60.2)	45.1	(35.0–55.7)	44.2	(32.0–57.2)	49.1	(37.5–60.8)	—	—	—	—	—	—	—	—
Arkansas	48.1	(37.0–59.4)	42.7	(37.1–48.4)	45.0	(38.6–51.6)	46.9	(40.8–53.2)	37.7	(28.4–48.1)	—	—	39.1	(31.1–47.7)	43.7	(26.8–62.2)	55.6	(38.2–71.7)
California	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Colorado	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Connecticut	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Delaware	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Florida	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Hawaii	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Idaho	55.4	(46.3–64.2)	47.2	(39.9–54.5)	50.5	(44.0–57.0)	—	—	—	—	—	—	—	—	—	—	—	—
Illinois	43.6	(34.7–53.0)	43.7	(37.5–50.0)	43.5	(38.7–48.4)	40.3	(35.4–45.4)	59.5	(46.8–71.1)	50.1	(25.7–74.4)	39.3	(33.3–45.7)	54.6	(43.1–65.7)	46.5	(37.5–55.7)
Iowa	59.6	(49.8–68.7)	41.6	(31.5–52.5)	49.7	(41.4–58.0)	53.3	(43.8–62.6)	43.9	(28.1–60.9)	—	—	55.4	(47.0–63.5)	41.7	(21.5–65.1)	40.9	(26.1–57.6)
Kansas	45.2	(35.5–55.4)	35.9	(29.4–43.0)	39.4	(33.7–45.3)	—	—	—	—	—	—	—	—	—	—	—	—
Kentucky	48.5	(40.3–56.8)	43.9	(38.6–49.4)	45.8	(41.7–49.9)	45.4	(41.6–49.2)	42.6	(32.2–53.6)	—	—	48.8	(43.7–53.9)	40.3	(28.2–53.7)	40.3	(30.9–50.5)
Louisiana	50.1	(39.9–60.2)	51.0	(44.8–57.2)	50.7	(44.9–56.6)	—	—	—	—	—	—	—	—	—	—	—	—
Maine	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Maryland	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Massachusetts	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Michigan	42.3	(29.4–56.3)	49.5	(42.2–56.8)	46.2	(37.9–54.6)	47.2	(39.0–55.6)	44.0	(27.1–62.5)	—	—	46.6	(37.5–55.9)	35.4	(17.6–58.4)	46.7	(29.4–64.8)
Missouri	40.5	(31.9–49.8)	36.4	(30.3–43.0)	38.0	(33.4–42.8)	—	—	—	—	—	—	—	—	—	—	—	—
Montana	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Nebraska	39.6	(28.2–52.3)	41.7	(31.5–52.7)	41.2	(33.8–48.9)	38.4	(29.9–47.7)	62.2	(46.4–75.7)	—	—	41.5	(31.8–52.0)	55.4	(36.6–72.7)	34.9	(20.6–52.4)
Nevada	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
New Hampshire	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
New Mexico	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
New York	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Carolina	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
North Dakota	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Oklahoma	46.2	(36.9–55.8)	44.9	(36.9–53.1)	45.3	(39.9–50.8)	44.3	(37.7–51.0)	48.5	(32.0–65.4)	—	—	47.0	(39.6–54.6)	44.4	(24.5–66.3)	38.1	(23.3–55.5)
Pennsylvania	41.4	(33.4–50.0)	33.2	(26.9–40.2)	36.3	(31.1–41.9)	36.2	(30.8–42.0)	39.7	(28.7–51.8)	33.5	(16.5–56.3)	36.0	(29.1–43.5)	42.1	(30.3–55.0)	38.1	(28.0–49.4)
Rhode Island	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
South Carolina	47.5	(39.7–55.5)	40.2	(30.9–50.3)	43.7	(36.5–51.3)	43.9	(35.8–52.4)	50.1	(36.7–63.5)	—	—	45.8	(38.2–53.5)	42.5	(31.9–53.9)	43.6	(25.6–63.5)
Tennessee	46.6	(37.6–55.9)	46.0	(35.2–57.1)	46.0	(38.4–53.9)	—	—	—	—	—	—	—	—	—	—	—	—
Texas	50.7	(41.7–59.7)	45.4	(36.9–54.2)	47.3	(41.6–53.1)	47.1	(40.4–53.9)	58.0	(41.4–72.9)	—	—	46.8	(39.7–54.0)	62.4	(45.2–77.0)	51.9	(38.4–65.2)
Utah	—	—	44.7	(36.8–52.9)	45.2	(39.0–51.5)	—	—	—	—	—	—	—	—	—	—	—	—
Vermont	36.7	(34.3–39.1)	30.4	(28.6–32.2)	33.0	(31.6–34.4)	31.5	(30.0–33.1)	44.6	(40.6–48.8)	26.6	(21.0–33.1)	32.2	(30.5–33.9)	42.5	(38.5–46.6)	28.2	(24.3–32.5)
Virginia	37.6	(29.9–46.0)	31.7	(27.7–35.9)	34.2	(29.9–38.8)	—	—	—	—	—	—	—	—	—	—	—	—
West Virginia	49.3	(39.7–58.9)	46.9	(37.3–56.6)	47.4	(39.4–55.5)	48.2	(39.9–56.7)	48.6	(31.2–66.4)	—	—	49.0	(40.9–57.3)	45.9	(24.3–69.1)	46.6	(29.4–64.7)
Wisconsin	40.0	(33.9–46.4)	36.3	(29.7–43.3)	37.6	(33.6–41.8)	40.1	(35.5–44.9)	26.5	(16.9–39.1)	—	—	40.1	(34.6–45.8)	32.5	(21.6–45.7)	35.8	(25.8–47.2)
Median	45.7		43.7		45.1		44.2		46.6		—		45.8		42.5		40.9
Range	36.7–59.6		30.4–51.0		33.0–50.7		31.5–53.3		26.5–62.2		—		32.2–55.4		32.5–62.4		28.2–55.6
Large urban school district surveys
Baltimore, MD	41.6	(31.8–52.1)	36.7	(25.3–49.9)	39.3	(31.3–47.9)	39.6	(28.6–51.7)	35.3	(21.1–52.7)	—	—	43.4	(28.2–59.9)	—	—	—	—
Boston, MA	37.3	(28.7–46.8)	32.7	(24.4–42.3)	34.8	(28.8–41.3)	34.1	(26.9–42.1)	37.3	(20.9–57.3)	—	—	37.0	(28.9–45.8)	—	—	24.9	(14.0–40.4)
Broward County, FL	25.4	(12.9–44.0)	46.3	(30.8–62.5)	37.5	(26.2–50.4)	38.2	(24.1–54.7)	36.6	(19.9–57.3)	—	—	42.7	(25.6–61.7)	—	—	—	—
Chicago, IL	51.1	(42.0–60.2)	42.1	(31.8–53.2)	46.0	(40.6–51.5)	42.7	(35.1–50.7)	59.3	(45.8–71.6)	—	—	43.6	(32.8–55.0)	42.7	(29.0–57.6)	46.2	(28.2–65.2)
Cleveland, OH	45.3	(38.9–51.8)	42.6	(34.7–50.8)	43.7	(38.4–49.0)	43.2	(37.1–49.5)	51.3	(38.8–63.7)	—	—	44.5	(37.2–52.0)	45.6	(32.8–59.0)	38.7	(25.6–53.7)
DeKalb County, GA	33.8	(26.1–42.5)	40.5	(33.3–48.1)	37.8	(31.9–44.0)	33.3	(26.3–41.1)	61.9	(45.9–75.7)	—	—	42.4	(34.1–51.1)	41.8	(26.0–59.5)	27.5	(16.5–42.1)
Detroit, MI	37.7	(26.9–49.8)	40.0	(29.2–51.9)	39.4	(32.0–47.3)	43.1	(35.1–51.6)	36.7	(21.0–55.7)	—	—	47.1	(35.4–59.1)	32.7	(17.6–52.4)	35.9	(24.4–49.3)
District of Columbia	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Duval County, FL	45.2	(39.1–51.5)	32.8	(27.6–38.5)	39.1	(35.1–43.3)	36.4	(31.5–41.5)	45.4	(36.3–54.8)	39.3	(23.2–58.1)	38.6	(33.0–44.5)	43.3	(34.5–52.6)	35.8	(26.2–46.6)
Ft. Worth, TX	43.8	(36.8–51.0)	42.3	(36.4–48.4)	42.9	(38.1–47.9)	42.3	(36.8–48.1)	55.4	(43.6–66.5)	22.8	(10.3–43.0)	46.6	(39.4–54.0)	53.7	(38.6–68.1)	38.1	(28.4–48.8)
Houston, TX	45.4	(39.5–51.3)	38.3	(32.4–44.7)	41.3	(36.6–46.2)	39.7	(34.3–45.3)	48.1	(37.5–58.9)	31.6	(18.9–47.9)	42.5	(36.1–49.3)	41.3	(30.5–52.9)	38.9	(31.4–46.9)
Los Angeles, CA	—	—	—	—	41.8	(33.8–50.3)	42.6	(34.2–51.4)	—	—	—	—	46.0	(33.2–59.3)	—	—	36.6	(22.2–54.0)
Miami-Dade County, FL	43.1	(36.2–50.1)	45.0	(37.0–53.2)	44.5	(39.0–50.1)	42.6	(36.4–48.9)	50.5	(38.4–62.5)	—	—	46.2	(38.6–53.9)	57.3	(43.0–70.5)	31.2	(21.4–43.1)
New York City, NY	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Oakland, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Orange County, FL	35.4	(24.3–48.3)	40.4	(31.5–49.9)	38.6	(31.4–46.3)	36.5	(29.0–44.7)	59.4	(39.5–76.7)	—	—	41.3	(31.8–51.5)	45.0	(26.9–64.5)	22.1	(12.8–35.4)
Palm Beach County, FL	37.0	(30.0–44.6)	37.4	(30.6–44.8)	37.4	(32.5–42.6)	31.9	(26.0–38.5)	59.8	(48.0–70.5)	44.4	(25.0–65.6)	39.6	(32.3–47.4)	41.0	(27.5–56.0)	23.8	(15.1–35.4)
Philadelphia, PA	34.3	(26.2–43.5)	40.0	(29.9–51.1)	37.3	(32.3–42.6)	32.2	(26.9–38.0)	56.8	(38.7–73.2)	—	—	35.4	(24.4–48.2)	58.1	(35.9–77.5)	20.1	(12.1–31.4)
San Diego, CA	48.3	(37.9–58.7)	30.9	(23.6–39.3)	38.3	(31.7–45.5)	35.5	(29.3–42.4)	56.1	(38.6–72.2)	—	—	38.1	(31.2–45.5)	55.1	(35.9–72.8)	29.6	(16.1–47.9)
San Francisco, CA	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Shelby County, TN	38.5	(32.6–44.7)	37.9	(29.7–47.0)	38.3	(32.9–44.1)	37.0	(30.3–44.1)	46.0	(32.1–60.6)	—	—	38.1	(29.5–47.6)	37.5	(27.1–49.3)	35.6	(21.7–52.6)
Median	40.0		40.0		39.1		38.2		50.9		—		42.5		43.3		35.6
Range	25.4–51.1		30.9–46.3		34.8–46.0		31.9–43.2		35.3–61.9		—		35.4–47.1		32.7–58.1		20.1–46.2

* Including cigarettes, cigars, smokeless tobacco, shisha or hookah tobacco, and electronic vapor products, during the 12 months before the survey, among students who used any tobacco products during the 12 months before the survey.
^† 95% confidence interval.
^§ Not available.

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Page last reviewed: June 14, 2018
Page last updated: June 14, 2018
Content source:
- Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Youth Risk Behavior Surveillance — United States, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

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, 2017

TABLE 84. Percentage of high school students who currently smoked cigars daily,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017

TABLE 85. Percentage of high school students who currently smoked cigars daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017

TABLE 86. Percentage of high school students who currently smoked cigarettes or cigars,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017

TABLE 87. Percentage of high school students who currently smoked cigarettes or cigars,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017

TABLE 88. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017

TABLE 89. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017

TABLE 90. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco or an electronic vapor product,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017

TABLE 91. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco or an electronic vapor product,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017

TABLE 92. Percentage of high school students who ever tried to quit using all tobacco products,* by sex, race/ethnicity, grade, sexual identity, and sex of sexual contacts — United States, Youth Risk Behavior Survey, 2017

TABLE 93. Percentage of high school students who ever tried to quit using all tobacco products,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017

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**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**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, 2017**

**TABLE 85. Percentage of high school students who currently smoked cigars daily,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017**

**TABLE 87. Percentage of high school students who currently smoked cigarettes or cigars,* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017**

TABLE 89. Percentage of high school students who currently smoked cigarettes or cigars or used smokeless tobacco,^* by sex, sexual identity, and sex of sexual contacts — selected U.S. sites, Youth Risk Behavior Surveys, 2017