Table 2.
Prevalence of current use of any tobacco product, e-cigarettes, cigarettes, and cigars among US middle and high school students, by survey setting, selected sociodemographic characteristics, perceived peer tobacco use, and current use other tobacco products: National Youth Tobacco Survey, 2021
| Characteristic | Any tobacco use | E-cigarette use | Cigarette use | Cigar use | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| On school campus (n = 1,173) | At home/other place (n = 607) | p-valuea | On school campus (n = 933) | At home/other place (n = 456) | p-value | On school campus (n = 226) | At home/other place (n = 84) | p-value | On school campus (n = 195) | At home/other place (n = 98) | p-value | |
| All students | 11.7 (10.2–13.4) | 6.9 (6.0–7.9) | <.0001 | 9.7 (8.2–11.4) | 5.5 (4.7–6.4) | <.0001 | 2.0 (1.6–2.5) | 1.0 (0.8–1.4) | .0004 | 1.8 (1.5–2.1) | 1.2 (0.9–1.5) | .0109 |
| School level | ||||||||||||
| Middle school | 5.2 (4.4–6.2) | 2.2 (1.6–3.0) | <.0001 | 3.7 (3.0–4.7) | 1.4 (1.0–2.0) | <.0001 | 1.3 (0.9–1.8) | 0.7 (0.4–1.1) | .0237 | 0.8 (0.6–1.1) | b | - |
| High school | 17.5 (15.1–20.1) | 9.9 (8.6–11.5) | <.0001 | 15.0 (12.9–17.4) | 8.1 (6.8–9.6) | <.0001 | 2.6 (2.0–3.4) | 1.3 (0.9–1.8) | .0016 | 2.6 (2.2–3.2) | 1.7 (1.2–2.3) | .0131 |
| Sex | ||||||||||||
| Female | 11.4 (9.5–13.6) | 8.1 (6.9–9.3) | .0035 | 9.5 (7.6–11.8) | 6.8 (5.7–8.0) | .0134 | 2.0 (1.6–2.7) | 0.9 (0.6–1.5) | .0032 | 1.3 (0.9–1.7) | 0.9 (0.6–1.5) | .2927 |
| Male | 11.9 (10.4–13.6) | 5.8 (4.5–7.3) | <.0001 | 9.8 (8.3–11.4) | 4.2 (3.2–5.4) | <.0001 | 2.0 (1.5–2.6) | 1.1 (0.7–1.7) | .0088 | 2.2 (1.8–2.7) | 1.4 (1.0–1.9) | .0102 |
| Race and ethnicity | ||||||||||||
| Non-Hispanic White |
12.1 (10.2–14.3) | 9.2 (7.5–11.2) | .0134 | 10.5 (8.6–12.7) | 8.1 (6.6–9.8) | .0212 | 1.9 (1.5–2.5) | 1.5 (1.0–2.1) | .2232 | 1.5 (1.2–2.0) | 1.3 (0.8–2.0) | .5324 |
| Non-Hispanic Black |
10.6 (7.3–15.2) | 6.5 (5.2–8.1) | .0445 | 6.2 (3.9–9.8) | 3.0 (2.0–4.5) | .0456 | 1.8 (1.0–3.2) | b | - | 4.0 (2.7–5.8) | 2.6 (1.7–3.7) | .1212 |
| Hispanic | 11.8 (9.4–14.6) | 5.3 (4.4–6.4) | <.0001 | 9.7 (7.5–12.4) | 4.3 (3.4–5.4) | .0001 | 2.4 (1.6–3.6) | 1.0 (0.6–1.5) | .0097 | 1.6 (1.0–2.6) | 0.6 (0.4–1.0) | .0151 |
| Non-Hispanic other races | 8.0 (5.1–12.4) | 4.5 (2.6–7.7) | .0848 | 5.9 (3.8–9.2) | b | - | b | b | - | b | b | - |
| Sexual and gender identity | ||||||||||||
| Lesbian, gay, bisexual, or transgender | 19.3 (15.7–23.5) | 9.1 (6.9–11.8) | <.0001 | 15.4 (12.4–19.0) | 7.7 (5.6–10.3) | .0003 | 4.6 (3.2–6.5) | 2.3 (1.2–4.0) | .0236 | 3.8 (2.7–5.4) | b | - |
| Not lesbian, gay, bisexual, nor transgender | 9.5 (8.2–11.0) | 6.1 (5.1–7.2) | <.0001 | 7.9 (6.6–9.4) | 4.9 (4.0–5.9) | <.0001 | 1.3 (1.0–1.7) | 0.7 (0.5–1.0) | .0076 | 1.3 (1.0–1.7) | 1.1 (0.7–1.5) | .3133 |
| Unknown | 7.4 (5.4–10.2) | 5.4 (4.1–7.1) | .1196 | 5.7 (3.9–8.3) | 3.6 (2.4–5.4) | .0844 | 1.2 (0.7–2.0) | b | - | b | b | - |
| Psychological distress | ||||||||||||
| None | 6.6 (5.7–7.7) | 4.3 (3.3–5.7) | .0015 | 5.0 (4.1–6.1) | 3.2 (2.5–4.3) | .0045 | 1.2 (0.8–1.7) | 0.5 (0.3–0.9) | .0092 | 1.0 (0.7–1.4) | 1.0 (0.6–1.6) | .8580 |
| Mild/moderate | 12.6 (10.1–15.5) | 7.7 (6.4–9.2) | .0013 | 10.9 (8.5–13.9) | 6.6 (5.3–8.2) | .0034 | 1.8 (1.3–2.6) | 1.3 (0.9–1.8) | .1865 | 1.4 (1.0–1.9) | 1.4 (0.9–2.1) | .9357 |
| Severe | 16.8 (13.6–20.6) | 11.2 (8.7–14.3) | .0082 | 13.5 (10.7–17.1) | 9.4 (7.0–12.4) | .0275 | 2.9 (1.9–4.4) | 2.2 (1.2–4.0) | .4936 | 3.1 (2.1–4.7) | b | - |
| Family affluence | ||||||||||||
| Low | 12.8 (10.6–15.4) | 6.3 (4.9–8.1) | <.0001 | 10.3 (8.2–12.8) | 4.9 (3.5–6.7) | .0002 | 3.0 (2.1–4.3) | b | - | 2.2 (1.5–3.3) | b | - |
| Medium | 9.4 (8.0–11.0) | 6.1 (5.2–7.3) | <.0001 | 7.9 (6.4–9.6) | 5.1 (4.1–6.3) | .0007 | 1.3 (0.9–1.8) | 0.9 (0.5–1.4) | .1871 | 1.1 (0.8–1.5) | 1.0 (0.6–1.6) | .6938 |
| High | 10.2 (8.5–12.1) | 6.7 (5.3–8.6) | .0018 | 8.0 (6.4–9.9) | 5.3 (4.1–6.8) | .0050 | 1.5 (1.0–2.1) | 0.9 (0.5–1.4) | .0446 | 1.5 (1.0–2.2) | 1.3 (0.8–2.0) | .5767 |
| Grades in school | ||||||||||||
| Mostly A’s or B’s | 8.8 (7.5–10.2) | 5.4 (4.5–6.6) | <.0001 | 7.3 (6.0–8.8) | 4.4 (3.6–5.4) | <.0001 | 1.1 (0.8–1.5) | 0.8 (0.5–1.1) | .1490 | 1.2 (0.9–1.7) | 0.9 (0.6–1.3) | .2131 |
| Mostly C’s or lower | 18.1 (15.5–21.0) | 10.6 (8.6–12.9) | <.0001 | 14.6 (12.1–17.5) | 8.2 (6.3–10.5) | .0003 | 4.1 (2.8–5.9) | 1.8 (1.1–3.1) | .0159 | 2.9 (2.0–4.1) | 2.1 (1.3–3.3) | .2464 |
| None of these grades/not sure | 10.2 (7.5–13.7) | 4.1 (2.7–6.3) | .0015 | 7.1 (5.1–9.8) | 3.0 (1.8–4.9) | .0066 | 2.4 (1.4–4.0) | b | - | 2.1 (1.2–3.7) | b | - |
| Language other than English spoken at home | ||||||||||||
| Yes | 9.9 (8.3–11.7) | 4.8 (3.8–6.0) | <.0001 | 7.0 (5.6–8.7) | 3.7 (2.8–4.9) | .0003 | 1.9 (1.3–2.9) | 0.8 (0.6–1.2) | .0081 | 2.0 (1.4–3.0) | 0.7 (0.4–1.1) | .0022 |
| No | 10.6 (9.0–12.3) | 7.4 (6.2–8.7) | .0009 | 8.8 (7.3–10.5) | 5.9 (5.0–7.1) | .0008 | 1.7 (1.3–2.2) | 1.0 (0.7–1.4) | .0107 | 1.5 (1.2–2.0) | 1.4 (0.9–2.0) | .6207 |
| Perceived peer e-cigarette use | ||||||||||||
| Less than 50% | 4.7 (3.9–5.6) | 3.0 (2.4–3.9) | .0009 | 3.1 (2.4–4.0) | 2.0 (1.5–2.6) | .0172 | - | - | - | - | - | - |
| 50% or more | 19.7 (17.6–22.0) | 11.4 (9.9–13.1) | <.0001 | 17.2 (15.0–19.7) | 9.6 (8.0–11.4) | <.0001 | - | - | - | - | - | - |
| Perceived peer cigarette use | ||||||||||||
| Less than 50% | 8.9 (7.5–10.5) | 5.6 (4.5–6.8) | .0001 | - | - | - | 1.2 (0.9–1.6) | 0.8 (0.5–1.1) | .0501 | - | - | - |
| 50% or more | 19.2 (17.0–21.6) | 9.0 (7.4–10.9) | <.0001 | - | - | - | 4.6 (3.6–5.8) | 1.5 (0.9–2.2) | <.0001 | - | - | - |
| Current use of other tobacco products | ||||||||||||
| Yes | - | - | - | 61.1 (54.4–67.4) | 51.4 (42.3–60.4) | .0620 | 15.1 (12.4–18.3) | 13.9 (10.1–18.8) | .6423 | 13.2 (11.1–15.8) | 11.3 (7.8–16.0) | .4188 |
| No | - | - | - | 6.4 (5.2–7.8) | 3.7 (3.1–4.4) | <.0001 | 0.4 (0.3–06) | b | - | 0.4 (0.2–0.6) | 0.5 (0.3–0.8) | .3290 |
n = unweighted sample size; CI = confidence interval; – = not applicable. Significant differences by survey setting (p < .05) are indicated in bold type.
a
p-values were from two-sided t-tests and not adjusted for multiplicity.
b
Data were statistically unreliable because of an unweighted denominator <50 or a relative standard error >30%.