TABLE 7. Access to tobacco products*,† among middle and high school students who reported current (past 30-day) use of each tobacco product — National Youth Tobacco Survey, United States, 2021.
| Access to each tobacco product | Tobacco product | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Any tobacco§ | E-cigarettes | Cigarettes | Cigars | Smokeless tobacco¶ | Hookahs | Pipe tobacco | Heated tobacco products | Nicotine pouch | |
| % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | |
| How did you get your [tobacco product]? | |||||||||
| I got them from a friend | 32.8 (29.7–36.0) | 32.3 (28.7–36.2) | 18.4 (13.5–24.7) | 22.1 (16.2–29.2) | 26.3 (18.5–35.9) | 23.9 (16.8–33.0) | —** | 23.4 (12.8–39.0) | 22.7 (14.9–33.0) |
| I bought them myself | 31.3 (28.5–34.2) | 31.1 (27.4–35.0) | 22.0 (16.3–29.0) | 29.8 (23.4–37.0) | 24.1 (17.6–32.1) | 18.3 (12.8–25.5) | — | 14.6 (8.8–23.2) | — |
| I had someone else buy them for me | 28.8 (26.0–31.8) | 28.7 (25.7–31.8) | 13.6 (9.4–19.1) | 23.7 (17.7–31.1) | 26.8 (19.8–35.3) | 15.7 (9.9–24.2) | — | 24.5 (14.8–37.7) | 17.7 (11.2–27.0) |
| Someone offered them to me | 26.3 (23.1–29.7) | 21.7 (19.2–24.4) | 16.4 (10.7–24.2) | 22.8 (17.3–29.4) | 27.8 (19.5–37.9) | 26.5 (18.8–35.8) | 32.0 (19.5–47.8) | 23.7 (15.6–34.2) | 24.6 (17.2–33.9) |
| I asked someone to give me some | 19.4 (16.6–22.6) | 16.3 (13.8–19.2) | 20.2 (14.6–27.3) | 14.3 (8.9–22.2) | 23.6 (15.4–34.4) | 22.1 (13.0–35.0) | 22.8 (12.2–38.6) | — | 13.3 (7.1–23.3) |
| I got them from a family member | 14.5 (12.3–17.1) | 10.2 (8.2–12.6) | 17.5 (12.7–23.6) | 16.7 (12.1–22.6) | 20.5 (13.7–29.5) | 19.5 (11.9–30.3) | — | 15.8 (8.5–27.7) | — |
| I took them from a store or another person | 6.0 (4.6–7.7) | 3.3 (2.4–4.6) | 12.2 (8.0–18.2) | 6.5 (3.8–10.7) | 9.2 (5.2–15.7) | — | — | — | — |
| I got them in some other way | 21.3 (19.0–23.8) | 15.7 (13.1–18.6) | 21.8 (16.3–28.5) | 22.7 (16.6–30.3) | 23.5 (16.7–31.9) | 24.6 (17.5–33.3) | 23.4 (15.3–34.1) | 27.5 (20.1–36.5) | 20.6 (11.7–33.8) |
| Where did you buy your [tobacco product]? | |||||||||
| I did not buy them | 48.6 (45.9–51.4) | 37.2 (34.2–40.3) | 48.0 (40.9–55.2) | 33.2 (26.1–41.1) | 33.4 (24.2–44.0) | 54.2 (45.7–62.5) | 37.0 (25.0–50.8) | 33.2 (24.2–43.5) | 34.3 (24.3–46.0) |
| Bought them from another person (friend, family member, someone else) | 22.5 (19.4–26.1) | 21.5 (18.2–25.2) | 14.7 (10.3–20.5) | 13.4 (9.2–19.0) | 21.0 (14.4–29.4) | — | 23.6 (13.2–38.6) | 24.2 (15.5–35.8) | 13.9 (7.9–23.3) |
| A vape shop or tobacco shop | 20.2 (16.8–24.0) | 22.2 (18.3–26.6) | 7.0 (4.1–11.7) | 12.2 (8.2–17.8) | — | — | — | — | — |
| A gas station, convenience store | 19.6 (16.9–22.7) | 17.7 (14.4–21.5) | 17.1 (12.1–23.6) | 34.1 (26.2–42.9) | 17.9 (11.2–27.3) | 8.5 (4.7–15.0) | — | — | — |
| A drugstore | 4.8 (3.5–6.5) | 3.7 (2.6–5.4) | — | — | 5.0 (2.8–8.8) | — | — | — | — |
| A grocery store | 4.8 (3.6–6.4) | 2.6 (1.6–4.0) | 5.3 (3.0–9.1) | — | 10.3 (5.8–17.7) | — | — | — | — |
| Through the mail | 3.6 (2.4–5.4) | 2.2 (1.3–3.8) | — | — | 6.7 (3.7–11.9) | — | — | — | — |
| On the Internet | 3.5 (2.5–4.8) | 2.9 (1.9–4.5) | — | — | — | — | — | — | — |
| A mall or shopping center kiosk or stand | 3.2 (2.1–4.9) | 1.7 (1.0–2.8) | — | — | — | — | — | — | — |
| A vending machine | 2.9 (2.1–4.2) | 1.8 (1.2–2.8) | — | — | — | 6.9 (3.7–12.2) | — | — | — |
| Through a delivery service | 2.4 (1.6–3.5) | 1.6 (0.9–2.5) | — | — | — | — | — | — | — |
| Some other place | 15.8 (13.8–18.1) | 12.3 (10.5–14.4) | 17.9 (12.6–24.8) | 14.5 (9.6–21.3) | 22.2 (16.3–29.3) | 18.9 (11.0–30.4) | — | 19.8 (13.2–28.7) | 21.5 (13.0–33.4) |
Abbreviation: e-cigarettes = electronic cigarettes.
* “During the past 30 days, how did you get your [e-cigarette devices, pods, cartridges, or e-liquid refills; cigarettes; cigars, cigarillos, or little cigars; chewing tobacco, snuff, or dip; hookahs; pipe tobacco; snus; dissolvable tobacco products; heated tobacco products; nicotine pouches]? (Select one or more).”
† “During the past 30 days, where did you buy your [e-cigarette devices, pods, cartridges, or e-liquid refills; cigarettes; cigars, cigarillos, or little cigars; chewing tobacco, snuff, or dip; hookahs; pipe tobacco; snus; dissolvable tobacco products; heated tobacco products; nicotine pouches]
§ Any tobacco use includes use of e-cigarettes, cigarettes, cigars (cigars, cigarillos, or little cigars), smokeless tobacco (chewing tobacco, snuff, or dip; snus; or dissolvable tobacco products), hookahs, pipe tobacco, bidis (small brown cigarettes wrapped in a leaf), heated tobacco products and nicotine pouches on ≥1 day during the past 30 days.
¶ Access (“how did you get …” and “where did you buy …”) during the past 30 days was assessed separately for smokeless tobacco products (chewing tobacco, snuff, or dip; snus; or dissolvable tobacco products). Access was then recoded as a smokeless composite among students who reported past 30-day use of one or more smokeless tobacco product.
** Data were statistically unreliable because of unweighted denominator <50 or a relative standard error >30%.