CDC-Data-2025/Youth_and_Tobacco_Use_Infographic_djvu.txt

YOUTH AND TOBACCO USE 


Youth use of tobacco in any form is unsafe. 


If smoking continues at the current rate among youth in this country, 
5.6 million of today’s Americans younger than 18 will $ 
die early from a smoking-related illness: 


Preventing tobacco use among youth is critical to ending the tobacco epidemic in the United States. 
Tobacco use is started and established primarily during adolescence.** 


Nearly 9 out of 10 | Each day in the United States, 
A 2 A J 2 A & cigarette smokers first more than 3,200 youth aged 18 
tried smoking by age \W years or younger smoke their first 
a rs A J 2 18, and 99% first try GEE 


smoking by age 26.'% 


cigarette, and an additional 2,100 
youth and young adults become 
daily cigarette smokers. 


Flavorings in tobacco products can make them more appealing to youth.* 


% 56% 
13% 0 
of high school students of middle school students 


who used tobacco products in the past 30 days reported using a flavored tobacco product during that time. 


www.cdc.gov/tobacco 


ESTIMATES OF CURRENT TOBACCO USE AMONG YOUTH 


Cigarette smoking has declined among U.S. youth in recent years, but the use of some other 
tobacco products has increased.°® 


Cigarettes ial 


From 2011 to 2015, current 
cigarette smoking declined 
among middle and high 7 


About 2 of every 100 middle About 9 of every 100 high 
school students (2.3%) reported in school students (9.3%) reported 
2015 that they smoked cigarettes in 2015 that they smoked ciga- 
in the past 30 days rettes in the past 30 days 


school students.°° 


decrease from 4.3% in 2011 decrease from 15.8% in 2011 


Current use of electronic cigarettes in 2015 that they used electronic 2015 that they used electronic 


increased among middle and high cigarettes in the past 30 days 
school students from 2011 to 2015.5° 


cigarettes in the past 30 days 


increase from 0.6% in 2011 increase from 1.5% in 2011 


Elect : : tt About 5 of every 100 middle 16 of every 100 high school 
ectronic cigarettes school students (5.3%) reported students (16.0%) reported in 
About 7 of every 100 high 
school students (7.2%) report- 


ed in 2015 that they had used 
hookah in the past 30 days 


2 of every 100 middle school 
students (2.0%) reported in 
2015 that they had used hoo- 
kah in the past 30 days 


From 2011 to 2015, current use of 


hookahs increased among middle 


and high school students.°° 


increase from 1.0% in 2011 increase from 4.1% in 2011. 


6 of every 100 high school 


a Nearly 2 of every 100 middle 
Smokeless Tobacco school students (1.8%) report- 


ed current use of smokeless 
tobacco. 


students (6.0%) reported 
current use of smokeless 
tobacco. 


All Tobacco Product Use 


zy 
In 2015, about 7 of every 100 25 of every 100 high school students used some 
0 middle school students used 0 type of tobacco product.® 
1.4% 25.5%" P 
some type of tobacco product. 


Nearly half of high school students said 
they had ever tried a tobacco product.’ 


: In 2013, nearly 18 of every 100 0 
17.1% middle school students said they 46 % 
had ever tried a tobacco product.’ 


Use of multiple tobacco products is prevalent among youth.? 


3.3% 13% 
sy 


In 2015, about 3 of every 100 middle school In 2013, more than 31 of every 100 high 
students and 13 of every 100 high school school students said they had ever tried 
students reported use of two or more tobacco two or more tobacco products.’ 
products in the past 30 days.> 


Youth who use multiple tobacco products are at higher risk for developing nicotine 
dependence and might be more likely to continue using tobacco into adulthood” 


FACTORS ASSOCIATED WITH YOUTH TOBACCO USE 


Social and physical environments2® 


The way mass media Youth are more likely High school athletes Parental smoking may 
show tobacco use as to use tobacco if they are more likely to use promote smoking 

a normal activity can see that tobacco use is smokeless tobacco among young people. 
promote smoking acceptable or normal than their peers who 

among young people. among their peers. are non-athletes.? 


Biological and genetic factors? 


O © 


There is evidence that youth may Genetic factors may make A mother’s smoking during 
be sensitive to nicotine and that quitting smoking more pregnancy may increase the 
teens can feel dependent on difficult for young people. likelihood that her offspring 
nicotine sooner than adults. will become regular smokers. 


MENTAL HEALTH: THERE IS A STRONG RELATIONSHIP BETWEEN YOUTH 
SMOKING AND DEPRESSION, ANXIETY, AND STRESS.? 


Personal perceptions: Expectations of positive outcomes from smoking, such as coping with stress 


and controlling weight, are related to youth tobacco use.” 


Other influences that affect youth tobacco use include:2® 


Lower socioeconomic status, including lower income or education 
Lack of skills to resist influences to tobacco use 


Lack of support or involvement from parents 


Accessibility, availability, and price of tobacco products 


Low levels of academic achievement 


Low self-image or self-esteem 


Exposure to tobacco advertising 


REDUCING YOUTH TOBACCO USE 


National, state, and local program activities have been shown to reduce and prevent youth 
tobacco use when implemented together. They include the following: 


v vi vi 


Higher costs for tobacco Prohibiting smoking in indoor Raising the minimum age of 
products (for example, through areas of worksites and public sale for tobacco products to 
increased taxesy=10" places2!o" 21 years, which has recently 


emerged as a potential 
strategy for reducing youth 
tobacco use" 


v 


vi v 


TV and radio commercials, Community programs and Community programs that 
posters, and other media school and college policies reduce tobacco advertising, 
messages targeted toward and interventions that promotions, and availability 
youth to counter tobacco encourage tobacco-free of tobacco products?"? 
product advertisements?" environments and lifestyles?"° 


Some social and environmental factors have been found to be related to lower smoking 
levels among youth. Among these are:? 


vo Religious participation vo Racial/ethnic pride and YW one academic achievement 


strong racial identity and aspirations 


Continued efforts are needed to prevent and reduce the use of all forms of 
tobacco use among youth. 


REFERENCES 


1 


10. 


11. 


U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: 
A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease 
Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on 
Smoking and Health, 2014 [accessed 2016 Apr 14]. 


U.S. Department of Health and Human Services. Preventing Tobacco Use Among Young People: A Report of 
the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and 
Prevention, Office on Smoking and Health, 1994 [accessed 2016 Apr 14]. 


U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A 
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Smoking and Health, 2012 [accessed 2016 Apr 14]. 


Centers for Disease Control and Prevention. Flavored Tobacco Product Use Among Middle and High School 
Students—United States, 2014. Morbidity and Mortality Weekly Report, 2015;64(38):1066-70 [accessed 2016 
Apr 14]. 


Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students—United 
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Centers for Disease Control and Prevention. Tobacco Product Use Among Middle and High School Students— 
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14]. 


Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students—United 
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U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. 
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Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000 [accessed 
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Centers for Disease Control and Prevention. Combustible and Smokeless Tobacco Use Among High School 
Athletes—United States, 2001-2013. Morbidity and Mortality Weekly Report, 2015;64(34):935-9 [accessed 
2016 Apr 14]. 


Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control 
Programs—2014. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and 
Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and 
Health, 2014 [accessed 2016 Apr 14]. 


King BA, Jama AO, Marynak KL, Promoff GR. Attitudes Toward Raising the Minimum Age of Sale for Tobacco 
Among U.S. Adults. American Journal of Preventive Medicine 2015. E-pub ahead of print: DOI: http://dx.doi. 
org/10.1016/j.amepre.2015.05.012 [accessed 2016 Apr 14].