The Surgeon General has concluded that e-cigarette use among youths and young adults is of public health concern exposure to nicotine during adolescence can cause addiction and can harm the developing adolescent brain ( 1). Although e-cigarettes have the potential to benefit adult smokers if used as a complete substitute for combustible tobacco smoking, the use of any form of tobacco product among youths, including e-cigarettes, is unsafe ( 1). Moreover, during 2017–2018, frequent e-cigarette use increased among high school students. middle and high school students during 2017–2018, reversing a decline observed in recent years and increasing overall tobacco product use ( 3). During 2017–2018, overall tobacco product use increased by 38% among high school students (from 19.6% to 27.1%, p<0.001) and by 29% among middle school students (from 5.6% to 7.2%, p = 0.008).Ĭurrent e-cigarette use increased considerably among U.S. Current use of any tobacco product among middle school students was 7.5% (870,000 students) in 2011 and 7.2% (840,000 students) in 2018 (p>0.05). Logistic regression (2011–2018) and t-tests (2017–2018) were performed to determine statistically significant differences (p0.05) (Figure). middle school (grades 6–8) and high school (grades 9–12) students. middle and high school students, were analyzed to determine the prevalence of current use (≥1 day in past 30 days) of e-cigarettes,* current use of any tobacco product, † frequency of (number of days during the preceding 30 days) e-cigarette use, and current use (any time during preceding 30 days) of any flavored e-cigarettes among U.S.

Data from the 2011–2018 National Youth Tobacco Survey (NYTS), a cross-sectional, voluntary, school-based, self-administered, pencil-and-paper survey of U.S. marketplace in 2007 ( 1), and by 2014, e-cigarettes were the most commonly used tobacco product among U.S. Electronic cigarettes (e-cigarettes) are battery-powered devices that provide nicotine and other additives to the user in the form of an aerosol ( 1).

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