TABLE. Percentage of middle and high school students currently using tobacco products* who reported using flavored products^† during the preceding 30 days, by sex and race/ethnicity — National Youth Tobacco Survey, United States, 2018.

Characteristic	Tobacco product % (95% CI)
	Any tobacco§	E-cigarettes	Menthol cigarettes	Cigars	Any smokeless tobacco**	Hookahs	Pipe tobacco	Bidis
Estimated no. of current tobacco product users††	4,920,000	3,640,000	1,410,000	1,310,000	1,100,000	740,000	200,000	130,000
Estimated no. of flavored product users††	3,150,000	2,370,000	640,000	570,000	410,000	190,000	50,000	50,000
Prevalence of flavored product use among all students	11.7 (10.6–13.0)	9.0 (7.9–10.2)	2.5 (2.1–2.8)	2.2 (1.9–2.5)	1.6 (1.2–1.9)	0.7 (0.6–1.0)	0.2 (0.1–0.3)	0.2 (0.1–0.3)
Prevalence of flavored product use among current users	64.1 (61.6–66.6)	65.2 (62.6–67.8)	45.7 (42.1–49.4)	43.6 (40.1–47.2)	37.5 (33.0–42.2)	26.1 (21.5–31.2)	26.5 (19.7–34.6)	38.9 (28.7–50.2)
School type
Middle school	48.7 (43.2–54.2)	51.5 (46.0–57.0)	42.0 (33.4–51.1)	39.4 (29.6–50.2)	28.4 (19.4–39.6)	18.3 (9.8–31.5)	—§§	—
High school	67.4 (64.8–70.0)	67.8 (65.0–70.4)	46.1 (41.9–50.3)	44.5 (40.8–48.3)	40.1 (35.3–45.1)	27.9 (22.7–33.7)	27.3 (18.9–37.6)	35.7 (24.1–49.4)
Sex
Female	65.4 (62.3–68.4)	65.5 (62.4–68.5)	45.9 (39.7–52.2)	45.8 (40.1–51.6)	29.2 (22.5–36.9)	31.7 (24.5–39.8)	27.4 (16.8–41.4)	—
Male	63.1 (60.0–66.1)	62.5 (59.1–65.7)	45.4 (40.7–50.2)	42.4 (37.7–47.3)	41.2 (36.0–46.7)	20.5 (15.1–27.3)	25.5 (18.0–34.8)	26.3 (15.7–40.7)
Race/Ethnicity
White, non-Hispanic	71.3 (68.3–74.0)	72.0 (69.0–74.7)	42.8 (37.9–47.8)	49.3 (44.3–54.4)	44.8 (39.3–50.5)	29.9 (21.2–40.4)	23.0 (13.8–35.8)	—
Black, non-Hispanic	46.5 (39.6–53.6)	52.8 (40.1–65.1)	51.4 (32.8–69.7)	39.1 (30.0–48.9)	—	—	—	—
Hispanic	54.3 (50.8–57.9)	49.3 (44.2–54.4)	50.6 (44.1–57.0)	39.2 (33.3–45.5)	22.1 (15.6–30.3)	26.7 (20.3–34.3)	37.0 (24.3–51.8)	—
Other, non-Hispanic	64.4 (57.5–70.8)	68.6 (62.0–74.5)	44.8 (35.0–54.9)	44.2 (30.7–58.5)	31.6 (19.2–47.3)	28.2 (17.3–42.5)	—	—

Abbreviations: CI = confidence interval; e-cigarettes = electronic cigarettes.

* Tobacco products asked about include cigarettes; e-cigarettes; hookahs (water pipes used to smoke tobacco); cigars (defined as cigars, cigarillos, or little cigars); tobacco in pipes; smokeless tobacco (defined as chewing tobacco, snuff, or dip); snus (a smokeless, spitless, tobacco product); dissolvable tobacco products (hereafter referred to as dissolvables); and bidis (small imported cigarettes wrapped in a leaf). Current cigarette smoking was determined by asking “During the past 30 days, on how many days did you smoke cigarettes?” Current use of cigars was determined by asking “During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?” Current use of smokeless tobacco was determined by asking “During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?” Current use of e-cigarettes was determined by asking “During the last 30 days, on how many days did you use e-cigarettes?” Current use of hookahs was determined by asking “During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?” Current use of pipe tobacco (not hookahs), snus, dissolvable tobacco, and bidis were determined by asking “In the past 30 days, which of the following products have you used on at least one day?”

^† Flavored tobacco product use was determined by the response to the question “Which of the following tobacco products that you used in the past 30 days were flavored to taste like menthol (mint), alcohol (wine, cognac), candy, fruit, chocolate, or other sweets?” Participants could select from a list of options to designate the flavored tobacco products they had used. Among those who reported any use of each respective product in the preceding 30 days, those who selected the flavored product were categorized as flavored product users; those who did not select the flavored product were categorized as only nonflavored product users; and those who did not provide any response to the flavored use question were assigned to missing flavor use status.

^§ Any tobacco is use of cigarettes, cigars, smokeless tobacco, e-cigarettes, hookahs, pipe tobacco, snus, dissolvables, or bidis on ≥1 day in the preceding 30 days.

^¶ Flavored cigarette use refers to menthol cigarettes. Menthol cigarette status was determined by asking “Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol?” and “During the past 30 days, what brand or cigarettes did you usually smoke?” Among past 30-day cigarette smokers, those responding “Yes” to the menthol question, or who reported “Newport” or “Kool” as the usual cigarette brand were classified as menthol smokers; subsequently those who reported “No” to the menthol question or who did not report “Newport” or “Kool” brands were classified as nonmenthol smokers; all other past 30-day cigarette smokers were classified as missing menthol smoking status.

** Any smokeless tobacco is current use of smokeless tobacco (chewing tobacco, snuff, or dip), snus, or dissolvables on ≥1 day in the preceding 30 days.

^†† The estimated numbers of total and flavored tobacco product users were rounded down to the nearest 10,000.

^§§ Dashes indicate data are statistically unreliable because the sample size was <50 or the relative standard error was >30%.