Trends in Student Use of Tobacco Products by Sex and Race/Ethnicity | American Lung Association

Trends in Student Use of Tobacco Products by Sex and Race/Ethnicity

  Any Tobacco*
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 13.3 11.8 9.5 8.2 7.5 6.9 6.9 8.1 7.9   28.2 27.4 25.6 23.9 24.2 23.7 23.7 25.4 26.3
Male 14.7 12.7 10.9 9.6 9.0 8.1 7.0 9.3 9.0   32.6 30.7 30.2 29.4 29.4 28.9 28.3 29.4 31.4
Female 11.7 10.7 8.2 6.7 5.9 5.7 6.7 7.0 6.8   23.7 24.1 21.3 18.2 19.0 18.3 19.0 21.6 21.0
Non-Hispanic White 13.2 11.2 9.2 7.1 6.1 5.3 5.7 6.4 6.5   30.9 30.8 28.4 26.7 26.6 24.9 24.5 27.1 26.8
Non-Hispanic Black 13.5 12.3 9.8 8.3 8.5 8.0 7.4 7.8 7.1   21.7 16.8 15.7 14.0 18.9 23.1 21.9 18.3 23.3
Hispanic 12.5 14.8 10.9 11.1 11.5 10.8 10.6 12.7 11.7   24.1 25.7 24.7 24.8 23.8 22.9 24.9 27.9 26.6
  Cigarettes
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 9.8 8.1 6.3 5.2 4.3 3.5 12.7 2.5 2.3   22.5 21.7 19.7 17.2 15.8 14.0 12.7 9.2 9.3
Male 9.8 7.7 6.3 5.6 4.5 3.8 14.1 3.0 2.3   23.9 21.6 21.2 19.6 17.7 16.3 14.1 10.6 10.7
Female 9.7 8.6 6.4 4.7 4.0 3.2 11.2 2.0 2.2   21.0 21.8 18.4 14.8 13.8 11.7 11.2 7.9 7.7
Non-Hispanic White 10.1 8.3 6.5 4.3 3.8 3.1 2.6 2.2 2.1   25.2 24.8 22.3 19.4 17.6 15.4 14.0 10.8 10.2
Non-Hispanic Black 9.0 7.5 5.5 5.2 3.6 2.6 1.7 1.7 NA   13.8 10.9 9.9 7.4 10.6 9.6 9.0 4.5 5.7
Hispanic 8.7 9.4 6.8 6.7 6.7 5.4 5.1 3.7 2.8   19.8 20.5 18.8 19.2 15.8 14.3 13.4 8.8 9.0
  Electronic Cigarettes
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total -- -- -- -- 0.6 1.1 1.1 3.9 5.3   -- -- -- -- 1.5 2.7 4.5 13.4 16.0
Male -- -- -- -- 0.7 1.4 1.4 4.5 5.9   -- -- -- -- 2.3 3.6 5.5 15.0 19.0
Female -- -- -- -- 0.4 0.8 0.9 3.3 4.8   -- -- -- -- 0.7 1.9 3.5 11.9 12.8
Non-Hispanic White -- -- -- -- 0.6 0.9 0.9 3.1 4.4   -- -- -- -- 1.8 3.3 4.8 15.3 17.2
Non-Hispanic Black -- -- -- -- NA NA NA 3.8 4.1   -- -- -- -- NA 1.1 2.7 5.6 8.9
Hispanic -- -- -- -- NA 1.9 1.8 6.2 8.3   -- -- -- -- 1.3 2.6 5.3 15.3 16.4
  Cigars
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 6.0 5.2 4.0 3.9 3.4 2.8 3.1 1.9 1.6   11.6 12.9 11.8 10.9 11.6 12.6 11.9 8.2 8.6
Male 7.9 6.6 5.3 4.6 4.3 3.2 3.3 2.4 1.8   16.9 18.4 16.6 15.0 15.7 16.7 15.4 10.8 11.5
Female 4.1 3.8 2.7 3.2 2.5 2.4 2.9 1.4 1.4   6.2 7.6 7.2 6.7 7.4 8.4 8.3 5.5 5.6
Non-Hispanic White 5.5 4.4 3.1 3.0 2.3 1.6 2.2 1.4 1.2   11.8 13.7 12.5 11.9 12.1 12.2 11.4 8.3 8.4
Non-Hispanic Black 7.3 6.9 5.8 4.7 5.7 5.0 4.5 2.0 2.0   12.0 10.0 8.9 7.1 11.7 16.7 14.7 8.8 12.8
Hispanic 6.3 8.0 6.1 6.2 6.1 4.9 4.7 2.9 2.2   10.8 13.5 12.4 11.8 11.3 12.4 12.1 8.0 7.3
  Hookah
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total -- -- -- -- 1.0 1.2 1.1 2.5 2.0   -- -- -- -- 4.0 5.2 5.2 9.3 7.2
Male -- -- -- -- 1.0 1.5 0.9 2.4 1.9   -- -- -- -- 4.5 5.9 5.6 8.9 7.4
Female -- -- -- -- 0.9 1.0 1.3 2.6 2.0   -- -- -- -- 3.4 4.4 4.8 9.8 6.9
Non-Hispanic White -- -- -- -- 0.9 0.8 0.7 1.4 1.6   -- -- -- -- 4.1 5.9 5.3 9.4 6.9
Non-Hispanic Black -- -- -- -- NA NA NA NA NA   -- -- -- -- NA 2.1 2.4 5.6 6.4
Hispanic -- -- -- -- 1.5 2.9 2.4 5.6 3.2   -- -- -- -- 4.8 6.3 7.1 13.0 8.7
  Smokeless Tobacco
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 3.6 2.9 2.6 2.6 2.2 1.7 1.4 1.6 1.4   5.9 5.5 6.1 6.7 7.3 6.4 5.7 5.5 5.6
Male 5.3 3.9 4.1 3.7 3.0 2.2 1.9 2.1 1.9   10.5 9.9 11.0 11.6 12.9 11.2 9.6 9.9 9.4
Female 1.6 1.9 1.2 1.4 1.4 1.2 0.8 NA 0.8   1.2 1.2 1.5 1.8 1.6 1.5 1.7 1.2 1.6
Non-Hispanic White 3.8 3.1 2.8 2.5 2.3 1.6 1.4 1.7 1.2   7.3 6.9 7.5 8.5 9.2 8.1 7.5 7.8 7.5
Non-Hispanic Black 2.3 1.8 1.7 1.7 1.0 NA NA NA NA   1.8 1.4 1.8 1.7 3.0 2.2 2.4 1.1 1.9
Hispanic 2.7 3.7 3.4 2.5 2.9 2.4 1.8 1.3 1.9   3.3 3.2 4.6 4.8 5.1 5.1 4.0 3.1 3.8
  Snus
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total -- -- -- -- 0.8 0.7 0.4 0.5 0.5   -- -- -- -- 2.8 2.4 1.8 1.9 1.2
Male -- -- -- -- 0.9 0.9 0.7 0.7 NA   -- -- -- -- 4.8 3.8 2.7 3.0 2.2
Female -- -- -- -- 0.7 0.5 0.2 0.3 NA   -- -- -- -- 0.7 0.9 0.9 0.8 1.2
Non-Hispanic White -- -- -- -- 0.9 0.7 NA NA NA   -- -- -- -- 3.6 3.2 2.4 2.4 1.5
Non-Hispanic Black -- -- -- -- NA NA NA NA NA   -- -- -- -- NA NA NA 0.6 NA
Hispanic -- -- -- -- 0.9 1.1 NA 1.1 NA   -- -- -- -- 2.2 1.8 1.3 1.5 1.3
  Dissolvable Tobacco
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total -- -- -- -- 0.3 0.5 NA 0.3 NA   -- -- -- -- 0.4 0.8 0.4 1.9 0.4
Male -- -- -- -- NA 0.6 NA 0.4 NA   -- -- -- -- 0.6 1.0 0.6 3.0 0.7
Female -- -- -- -- NA 0.4 NA NA NA   -- -- -- -- NA 0.6 NA 0.8 NA
Non-Hispanic White -- -- -- -- NA 0.4 NA NA NA   -- -- -- -- NA 0.6 0.3 2.4 NA
Non-Hispanic Black -- -- -- -- NA NA NA NA NA   -- -- -- -- NA NA NA NA NA
Hispanic -- -- -- -- NA 0.9 NA NA NA   -- -- -- -- NA 1.4 NA 1.5 NA
  Pipes
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 3.5 2.6 2.2 2.3 2.2 1.8 1.9 0.5 0.4   3.2 3.2 3.7 3.9 3.9 4.5 4.1 1.5 1.0
Male 5.1 3.3 3.0 2.7 2.7 1.9 1.6 0.6 NA   5.0 4.8 5.6 5.3 5.1 5.8 5.0 2.1 1.4
Female 1.9 1.8 1.3 1.7 1.8 1.7 2.2 0.5 NA   1.4 1.5 1.8 2.5 2.8 3.2 3.3 0.9 0.7
Non-Hispanic White 2.8 2.2 1.9 1.5 1.5 1.2 1.2 0.5 NA   2.8 3.1 3.6 3.3 3.5 4.5 3.7 1.9 1.0
Non-Hispanic Black 3.9 2.0 1.5 1.9 1.3 -- 1.7 NA NA   3.7 1.7 2.2 3.6 2.4 2.9 3.5 NA NA
Hispanic 4.3 5.3 4.3 4.5 5.0 3.7 4.3 0.9 NA   4.6 4.8 5.3 6.8 6.3 6.2 6.5 1.5 1.5
  Bidis
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 2.4 2.4 1.7 1.6 1.7 0.6 0.4 0.5 NA   3.2 2.7 2.9 2.4 2.0 0.9 0.6 0.9 0.6
Male 3.1 2.8 1.9 2.0 1.9 0.7 NA 0.7 NA   5.0 3.7 3.3 2.7 2.9 1.2 0.8 1.2 0.9
Female 1.7 1.7 1.5 1.2 1.4 0.4 NA 0.3 NA   1.4 1.6 2.4 2.1 1.0 0.5 0.5 0.6 NA
Non-Hispanic White 1.8 1.8 1.2 1.1 1.0 0.3 NA NA NA   2.8 2.4 2.6 1.7 1.4 0.7 0.6 0.8 0.5
Non-Hispanic Black 3.1 3.1 2.3 1.9 1.9 NA NA NA NA   3.7 2.1 2.7 3.7 2.0 NA NA NA NA
Hispanic 2.9 2.9 3.3 2.6 3.5 1.2 NA 0.6 NA   4.6 4.8 4.6 3.7 3.7 1.3 0.7 1.1 0.9
  Cloves/Kreteks
  Middle School   High School
  2002 2004 2006 2009 2011 2012 2013 2014 2015   2002 2004 2006 2009 2011 2012 2013 2014 2015
Total 2.0 1.5 1.4 1.2 1.1 0.5 0.4 -- --   2.7 2.5 2.8 2.4 1.6 0.9 0.8 -- --
Male 2.7 1.9 1.7 1.6 1.3 0.5 0.5 -- --   3.5 3.4 3.6 2.9 2.4 1.4 1.2 -- --
Female 1.1 1.2 1.0 0.7 0.9 0.4 NA -- --   1.8 1.6 2.0 1.9 0.8 0.4 0.5 -- --
Non-Hispanic White 1.5 1.2 1.0 0.8 0.6 NA NA -- --   2.7 2.5 3.0 2.4 1.4 1.1 1.0 -- --
Non-Hispanic Black 2.3 1.6 1.7 1.4 NA NA NA -- --   1.9 1.3 1.7 1.8 NA NA NA -- --
Hispanic 2.6 3.0 2.6 1.8 2.5 1.0 NA -- --   3.0 3.6 3.2 2.9 2.5 0.9 NA -- --
                                       

Sources: Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2015. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009 from MMWRs.

    Notes:
    Current use is defined as using the product on one or more of the past 30 days.
    * Any tobacco use is defined as use of any one or more of the products listed in this table for that year. Electronic cigarettes, hookah, snus, and dissolvable tobacco were added in 2011. Kreteks were removed after 2013.
    -- Survey did not ask about product that year.
    NA Estimate is unreliable due to a sample size of less than 20.
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