To make CDC health information more accessible to the public, more interesting to the media, and more relevant to policymakers, CDC created Vital Signs—a monthly publication that uses concise and compelling data to communicate vital health information on select topics. The CDC Vital Signs for February 2019 reports youth tobacco product use increased during 2017-2018, erasing past progress in reducing youth tobacco product use driven by a surge in e-cigarette use.
The Vital Signs report contains several products, including an MMWR Early Release, social media messages, and a web page containing a video, a podcast, and a fact sheet in English and Spanish.
Tobacco Use by Youth Is Rising: E-cigarettes Are the Main Reason
Tobacco product use among US youth is increasing. More than 1 in 4 high school students and about 1 in 14 middle school students in 2018 had used a tobacco product in the past 30 days. This was a considerable increase from 2017, which was driven by an increase in e-cigarette use. E-cigarette use increased from 11.7% to 20.8% among high school students and from 3.3% to 4.9% among middle school students from 2017 to 2018. No change was found in the use of other tobacco products, including cigarettes, during this time.
- E-cigarettes are still the most commonly used tobacco product, ahead of cigarettes, cigars, smokeless tobacco, hookah, and pipes.
- E-cigarettes are the most commonly used product in combination with other tobacco products.
- E-cigarette use is highest for boys, whites, and high school students.
Related Pages and Resources
- Vital Signs: Tobacco Use by Youth [PODCAST – 1:15 seconds]
- Vital Signs: Tobacco Use by Youth [PSA – 30 seconds]
- Vital Signs: Press Release – Progress erased: youth tobacco use increased during 2017-2018 [English]
- Vital Signs: Press Release – Progress erased: youth tobacco use increased during 2017-2018 [Spanish]
- Youth and Tobacco Use
- Know The Risks: E-cigarettes & Young PeopleExternal
- Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults
- E-cigarette Fact Sheet: Parents, Educators and Health Care Providers
- E-cigarette Infographic: Teachers and Parents
- 2016 Surgeon General’s Report: E-Cigarette Use Among Youth and Young Adults
- 2014 Surgeon General’s Report: The Health Consequences of Smoking—50 Years of Progress
- CDC’s Best Practices for Comprehensive Tobacco Control Programs—2014
- Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General, 2012External
- Truth Initiative: Quitting E-cigarettesExternal
- Public Health Consequences of E-CigarettesExternal
- FDA’s The Real Cost CampaignExternal
Science Behind the Report
- Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018, Morbidity and Mortality Weekly Report (MMWR)
- Science Clips
- E-cigarette Ads and Youth
Tobacco use causes many cancers
January 2016 Cdc-pdf[PDF–2.96 MB]
- Cancer and Tobacco Use
Tobacco use causes many cancers
November 2016 Cdc-pdf[PDF–2.25 MB]
- Secondhand Smoke
Focuses on the dangers of secondhand smoke
February 2015 Cdc-pdf[PDF–6.14 MB]
- Adult Smoking
Focusing on People with Mental Illness
February 2013 Cdc-pdf[PDF–2.65MB]
- Adult Smoking in the US
Tobacco use remains the single largest preventable cause of disease, disability, and death in the United States.
September 2011 Cdc-pdf[PDF–1.14 MB]
- Tobacco Use
September 2010 Cdc-pdf[PDF–4.43 MB]