Youth Tobacco Use Infographics

In 2019,

  • Any tobacco product: 31.2%
  • E-cigarettes: 27.5%
  • Cigars: 7.6%
  • Cigarettes: 5.8%
  • Smokeless Tobacco: 4.8%
  • Hookah: 3.4%
  • Pipe tobacco: 1.1%

Youth Exposure to Advertising and E-Cigarette Use

E-cigarette Use Among Youth is Rising as E-cigarette Advertising Grows

E-cigarette use has increased considerably among U.S. youths in recent years and corresponding increases have occurred in e-cigarette advertising expenditures. This graphs shows that during 2011 to 2014, current e-cigarette use among high school students soared from 1.5% to 13.4%, and among middle school students from 0.6% to 3.9%. Spending on e-cigarette advertising rose from $6.4 million in 2011 to an estimated $115 million in 2014.

Youth are Exposed to E-cigarette Advertisements from Multiple Sources

Sources of e-cigarette advertisement exposure

  • 14.4 million youth are exposed to advertising in retail stores
  • 10.5 million youth are exposed to advertising through the Internet
  • 9.6 million youth are exposed through TV or movies
  • 8 million youth are exposed through newspapers or magazines

US students exposed to e-cigarette advertisements, by school type and number of sources of exposure

A high proportion of U.S. Middle and High School students saw e-cigarette advertisements in 2014 from one or more of the following four sources: retail, Internet, TV/movies, and Magazines/newspapers. Overall,

  • 66% of U.S. Middle School Students
  • 71% of U.S. High School Students
  • 69% U.S. Middle and High School Students

7 out of 10 Middle and High School Students Who Currently Use Tobacco have used a FLAVORED Product

Graphic shows that 7 out of 10 middle and high school students who currently use tobacco have used a flavored product.

  • 63% of students who currently use e-cigarettes have used flavored e-cigarettes (1.6 million)
  • 61% of students who currently use hookah have used flavored hookah (1 million)
  • 64% of students who currently use cigars have used flavored cigars (910,000)

Source: Morbidity and Mortality Weekly Report (MMWR)

A Dangerous Trend—Smokeless Tobacco Use Among High School Athletes

Graphic shows the dangerous trend of smokeless tobacco use among high school athletes. Past 30-day use of combustible tobacco products dropped from 2001 to 2013 among all high school students (31.5% to 19.5%), while past 30-day use of smokeless tobacco remained unchanged among non-athletes (5.9%) and increased among athletes (10.0% to 11.1%). Smokeless tobacco is NOT without risk. Smokeless tobacco use can lead to nicotine addiction; cause cancer of the mouth, esophagus and pancreas; cause diseases of the mouth; increase the risk for death from heart disease and stroke.

Trying Their First Cigarette

Each day, nearly 3,300 youth under the age of 18 try their 1st cigarette.

Current Cigarette Smoking Among U.S. High School Students Lowest in 22 Years

Percentage of high school students who smoke

  • 1991: 27.5
  • 1993: 30.5
  • 1995: 34.8
  • 1997: 36.4
  • 1999: 34.8
  • 2001: 28.5
  • 2003: 21.9
  • 2005: 23.0
  • 2007: 20.0
  • 2009: 19.5
  • 2011: 18.1
  • 2013: 15.7

Source: National Youth Risk Behavior Surveys, 1991-2013

More Than a Quarter-Million Youth Who Had Never Smoked a Cigarette Used E-Cigarettes in 2013

In 2013, more than a quarter million middle school and high school students never smoked regular cigarettes but had used e-cigarettes three times as many as 2011.