Trends in the Prevalence of Tobacco Use National YRBS: 1991—2017

The national Youth Risk Behavior Survey (YRBS) monitors health behaviors that contribute to the leading causes of death, disability, and social problems among youth and adults in the United States. The national YRBS is conducted every two years during the spring semester and provides data representative of 9th through 12th grade students in public and private schools throughout the United States.

Trends in the Prevalence of Alcohol Use National YRBS: 1991—2017
Percentages Trend from 1991–20171 Change from 2015–20172
1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017
Ever tried cigarette smoking
(even one or two puffs)
70.1 69.5 71.3 70.2 70.4 63.9 58.4 54.3 50.3 46.3 44.7 41.1 32.3 28.9 Decreased 1991—2017
No change 1991—1999
Decreased 1999—2017
No change
Current cigarette use
(on at least 1 day during the 30 days before the survey)
27.5 30.5 34.8 36.4 34.8 28.5 21.9 23.0 20.0 19.5 18.1 15.7 10.8 8.8 Decreased 1991—2017
Increased 1991—1997
Decreased 1997—2017
No change
Current frequent cigarette use
(on 20 or more days during the 30 days before the survey)
12.7 13.8 16.1 16.7 16.8 13.8 9.7 9.4 8.1 7.3 6.4 5.6 3.4 2.6 Decreased 1991—2017
Increased 1991—1999
Decreased 1999—2017
No change
Current daily cigarette use
(on all 30 days during the 30 days before the survey)
9.8 10.0 12.2 12.2 12.8 10.3 7.6 7.2 6.1 5.3 4.8 4.0 2.3 2.0 Decreased 1991—2017
Increased 1991—1999
Decreased 1999—2017
No change
Current cigar use
(cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey)
3 22.0 17.7 15.2 14.8 14.0 13.6 14.0 13.1 12.6 10.3 8.0 Decreased 1997—2017 Decreased
Current electronic vapor product use
(on at least one day during the 30 days before the survey)
24.1 13.2 NA4 Decreased
  1. Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade, p < 0.05. Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).
  2. Based on t-test analysis, p < 0.05
  3. Not available.
  4. Trend not available due to the low number of years of data available.