TABLE. Estimated prevalence of tobacco product use in the past 30 days, by product,* school level, sex, and race/ethnicity† — National Youth Tobacco Survey, United States, 2018.
| School level/Tobacco product | % (95% CI) |
Total |
||||||
|---|---|---|---|---|---|---|---|---|
| Sex |
Race/Ethnicity |
|||||||
| Female | Male | White, non-Hispanic | Black, non-Hispanic | Hispanic | Other race, non-Hispanic | Estimated no. of users§ | % (95% CI) | |
|
High school students
| ||||||||
| Any tobacco product¶ |
24.9 (22.9–26.9) |
29.1 (27.1–31.3) |
32.4 (30.4–34.4) |
17.4 (14.5–20.7) |
21.7 (19.4–24.1) |
18.4 (15.0–22.4) |
4,040,000
|
27.1 (25.3–29.0)
|
| Any combustible tobacco** |
13.0 (11.3–15.0) |
14.6 (13.3–16.0) |
14.7 (13.0–16.6) |
13.2 (10.8–15.9) |
13.7 (11.8–15.7) |
8.1 (5.8–11.1) |
2,070,000
|
13.9 (12.6–15.4)
|
| ≥2 Tobacco products†† |
9.3 (8.0–10.9) |
13.1 (11.7–14.6) |
13.6 (12.1–15.4) |
5.5 (4.0–7.5) |
9.9 (8.4–11.5) |
6.3 (4.1–9.6) |
1,680,000
|
11.3 (10.1–12.6)
|
| E-cigarettes |
18.8 (16.7–21.1) |
22.6 (20.6–24.8) |
26.8 (24.7–29.0) |
7.5 (5.5–10.2) |
14.8 (12.9–17.0) |
14.5 (10.8–19.1) |
3,050,000
|
20.8 (18.8–22.9)
|
| Cigarettes |
7.3 (6.1–8.7) |
8.8 (7.6–10.2) |
9.9 (8.5–11.6) |
3.2 (2.3–4.6) |
7.2 (5.8–8.8) |
4.4 (2.5–7.6) |
1,180,000
|
8.1 (7.1–9.3)
|
| Cigars |
6.0 (4.9–7.4) |
9.0 (8.1–10.0) |
7.8 (6.7–9.1) |
9.2 (6.8–12.4) |
7.3 (5.9–9.1) |
3.4 (2.0–5.7) |
1,100,000
|
7.6 (6.7–8.6)
|
| Smokeless tobacco |
3.3 (2.7–4.0) |
8.4 (6.9–10.1) |
7.6 (6.2–9.2) |
2.2 (1.4–3.3) |
4.2 (3.3–5.4) |
3.0 (1.7–5.3) |
870,000
|
5.9 (5.0–7.0)
|
| Hookahs |
4.1 (3.2–5.3) |
4.0 (3.4–4.8) |
3.3 (2.6–4.1) |
3.7 (2.7–5.2) |
6.0 (4.7–7.7) |
4.1 (2.8–6.1) |
590,000
|
4.1 (3.5–4.9)
|
| Pipe tobacco |
0.8 (0.6–1.2) |
1.4 (1.1–1.8) |
1.1 (0.8–1.6) |
—§§ |
1.4 (0.9–2.1) |
— |
160,000
|
1.1 (0.9–1.4)
|
|
Middle school students
| ||||||||
| Any tobacco product¶ |
6.3 (5.4–7.4) |
8.0 (6.9–9.3) |
6.6 (5.5–7.8) |
6.8 (5.2–9.0) |
9.5 (8.0–11.2) |
3.8 (2.1–6.6) |
840,000
|
7.2 (6.3–8.1)
|
| Any combustible tobacco** |
2.9 (2.2–3.7) |
3.7 (2.9–4.6) |
2.5 (1.7–3.4) |
4.4 (3.0–6.3) |
4.7 (3.9–5.7) |
— |
380,000
|
3.3 (2.7–4.0)
|
| ≥2 Tobacco products†† |
1.9 (1.4–2.5) |
2.8 (2.2–3.5) |
2.1 (1.5–3.0) |
1.5 (0.8–2.7) |
3.6 (2.9–4.4) |
— |
270,000
|
2.4 (1.9–2.9)
|
| E-cigarettes |
4.8 (3.9–5.7) |
5.1 (4.2–6.2) |
4.9 (4.0–5.9) |
3.0 (2.1–4.2) |
6.6 (5.1–8.5) |
— |
570,000
|
4.9 (4.2–5.8)
|
| Cigarettes |
1.5 (1.1–2.0) |
2.1 (1.6–2.7) |
1.6 (1.1–2.4) |
— |
2.4 (1.8–3.1) |
— |
200,000
|
1.8 (1.4–2.2)
|
| Cigars |
1.6 (1.2–2.1) |
1.7 (1.3–2.3) |
1.1 (0.7–1.6) |
2.9 (1.8–4.5) |
2.2 (1.6–2.9) |
— |
190,000
|
1.6 (1.3–2.1)
|
| Smokeless tobacco |
0.9 (0.6–1.3) |
2.7 (2.1–3.6) |
1.8 (1.3–2.6) |
— |
2.2 (1.7–3.0) |
— |
210,000
|
1.8 (1.5–2.3)
|
| Hookahs |
1.0 (0.7–1.4) |
1.5 (1.0–2.1) |
0.8 (0.5–1.3) |
— |
2.2 (1.6–3.0) |
— |
140,000
|
1.2 (0.9–1.6)
|
| Pipe tobacco | 0.4 (0.2–0.6) | 0.3 (0.2–0.5) | — | — | 0.6 (0.4–1.0) | — | 30,000 | 0.3 (0.2–0.5) |
Abbreviations: CI = confidence interval; e-cigarettes = electronic cigarettes.
* Past 30-day use of e-cigarettes was determined by asking, “During the past 30 days, on how many days did you use e-cigarettes?” Past 30-day use of cigarettes was determined by asking, “During the past 30 days, on how many days did you smoke cigarettes?” Past 30-day use of cigars was determined by asking, “During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?” Past 30-day use of hookah was determined by asking, “During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?” Smokeless tobacco was defined as use of chewing tobacco, snuff, dip, snus, and/or dissolvable tobacco products. Past 30-day use of smokeless tobacco was determined by asking the following question for use of chewing tobacco, snuff, and dip: “During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?,” and the following question for use of snus and dissolvable tobacco products: “In the past 30 days, which of the following products did you use on at least one day?” Responses from these questions were combined to derive overall smokeless tobacco use. Past 30-day use of pipe tobacco (not hookahs) was determined by asking, “In the past 30 days, which of the following products have you used on at least one day?”
† Blacks, whites, and others are non-Hispanic; Hispanic persons could be of any race.
§ Estimated total number of users was rounded down to the nearest 10,000 persons.
¶ Any tobacco product use was defined as use of any tobacco product (e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, and/or bidis) on ≥1 day in the past 30 days.
** Any combustible tobacco product use was defined as use of cigarettes, cigars, hookahs, pipe tobacco, and/or bidis on ≥1 day in the past 30 days.
†† ≥2 tobacco products use was defined as use of ≥2 tobacco products (e-cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, and/or bidis) on ≥1 day in the past 30 days.
§§ Dashes indicate that data are statistically unreliable because samples size was <50 or relative standard error was >0.3.