A study released from the U.S. Food and Drug Administration (FDA) and the U.S. Centers for Disease Control and Prevention (CDC) found that 3.08 million (11.3%) U.S. middle and high school students reported current (past 30-day) use of any tobacco product in 2022, which includes 2.51 million (16.5%) high school students and 530,000 (4.5%) middle school students.
The study assessed eight commercial tobacco products. E-cigarettes—for the ninth consecutive year—were the most commonly used tobacco product among all students (2.55 million), followed by cigars (500,000), cigarettes (440,000), smokeless tobacco (330,000), hookah (290,000), nicotine pouches (280,000), heated tobacco products (260,000), and pipe tobacco (150,000). The term “tobacco product” as used in this report refers to commercial tobacco products and not to sacred and traditional use of tobacco by some American Indian communities.
Among all race and ethnicity groups, non-Hispanic American Indian or Alaska Native students had the highest percentage of any tobacco product use (13.5%), while non-Hispanic White students reported the highest percentage of e-cigarette use (11.0%). Approximately one million youth reported using any combustible tobacco product; non-Hispanic Black students reported the highest percentage of combustible tobacco product use (5.7%), including cigar use (3.3%).
Additional groups with a higher percentage of tobacco product use were those reporting grades of mostly Fs (27.2%); those reporting severe symptoms of psychological distress (18.3%); those who identified as transgender (16.6%) or as lesbian, gay, or bisexual (16.0%); and those with low family affluence (12.5%).
