Tobacco Product Use Among Middle and High School Students—United States, 2022

More than 3 million (11.0%) U.S. youth reported using a commercial tobacco product in 2022, including more than 2.5 million high school and 530,000 middle school students. Approximately 1 million youth reported using any combustible tobacco product, and 960,000 reported using multiple tobacco products. E-cigarettes were the most commonly used tobacco product, and cigars were the most commonly used combustible tobacco product.

Youth use of tobacco products—in any form—is unsafe. Tobacco use continues to threaten the health of the nation’s youth and disparities in tobacco use among youth exist by race and ethnicity, sexual identity, gender identity, academic achievement, level of family affluence, and level of psychological distress. Everyone can help reduce youth tobacco use. Parents, educators, and health care providers can help youth recognize and avoid the dangers of tobacco product use, as well as support and encourage youth who use tobacco products to quit. It's also imperative to address policy and environmental factors that are driving tobacco-related disparities.

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