About 4.9 million middle and high school students were current users (consumed in the past 30 days) of one type of tobacco product in 2018, compared to 3.6 million in 2017. This increase, driven by an increase in the use of the electronic cigarette, has been erased in the past. progress in reducing tobacco use among young people, according to a new Report on vital signs published by the Centers for Disease Control and Prevention (CDC).

With the exception of e-cigarettes, the use of other tobacco products, including cigarettes, has not changed, which has resulted in a net increase in overall product consumption tobacco in 2017-2018. There were 1.5 million new electronic cigarette users in 2018 compared to 2017, and those who used e-cigarettes used them more often, as was the case before. rapportéExternal in November 2018. The frequent use (more than 20 days in the past 30 days) of electronic cigarettes has increased from 20% in 2017 to 28% in 2018 among current users of electronic cigarettes in secondary schools.

More than one in four high school students (27.1%) and about one in 14 (7.2%) of high school students were currently using a tobacco product in 2018. For the fifth year in a row, electronic cigarettes ( 20.8%) were the most consumed. Tobacco products commonly used by high school students, followed by cigarettes (8.1%), cigars (7.6%), smokeless tobacco (5.9%), narghile (4.1%) and pipe tobacco (1.1%). Electronic cigarettes (4.9%) were also the most commonly used tobacco products, followed by cigarettes (1.8%), smokeless tobacco (1.8%), cigars (1.6%), hookah (1.2%) and pipe tobacco (0.3%).

Many young consumers of tobacco products also use several products. Of the current tobacco users, about two in five (1.68 million) and one in three (270,000) students used at least two tobacco products in 2018. The most common combination of tobacco products was electronic cigarettes. and conventional cigarettes among college and high school students.


Robert Redfield, M.D., director of the CDC

"The dramatic increase in e-cigarette use among youth over the past year threatens to erase the gains made in reducing youth smoking. This puts a new generation at risk for nicotine addiction, "said Robert R. Redfield, MD, director of the CDC." Despite this disturbing trend, we know what works and we need to continue to use proven strategies to protect people. " young Americans of this preventable risk to health. Youth use of any tobacco product, including
e-cigarettes, is dangerous. "


Key additional findings:

  • Among high school students in 2018, 32.4% of non-Hispanic whites, 21.7% of Hispanics, 18.4% of other races and 17.4% of non-Hispanic blacks reported using tobacco.
  • Among college students in 2018, 9.5% of Hispanics, 6.8% of non-Hispanic blacks, 6.6% of non-Hispanic whites and 3.8% of non-Hispanic non-Hispanic students reported eating tobacco.
  • By sex in 2018, the consumption of tobacco products, two or more products, electronic cigarettes, cigarettes, cigars, smokeless tobacco and pipe tobacco was higher among boys than girls.
  • According to race / ethnicity in 2018, e-cigarettes were the product most commonly used by all racial / ethnic groups, with the exception of black high school students, of whom cigars were the most popular product. more often stated.