In 2024, tobacco product use among American adolescents has significantly decreased, according to a new report from the CDC and FDA. Although 2.25 million young people still use some tobacco products, the decline is evident. E-cigarettes remain the most popular (5.9%), down from 7.7% the previous year.
The study also reveals ethnic disparities in use, with concerning numbers among Indigenous and African American youth. Here, a harm reduction strategy stands out as a pragmatic alternative. Offering lower-risk products, such as e-cigarettes, could mitigate the long-term effects of smoking, a more realistic approach than total prohibition. Education and inclusive policies are key to continuing this progress.
Summary & Key Findings
Summary of the Study
Objective: The study aimed to assess the use of tobacco products among adolescents, as most consumers start during their teenage years. It compares current trends with consumption recorded in 2023.
Population: The sample included 29,861 students from 283 schools, with 8.1% (equivalent to 2.25 million) reporting having used tobacco products in the last 30 days.
Most Used Products
E-cigarettes continued to be the most popular tobacco product, used by 5.9% of students, followed by nicotine pouches (1.8%), conventional cigarettes (1.4%), cigars (1.2%), and other products like smokeless tobacco, oral nicotine products, and heated tobacco.
Reduction in Use
From 2023 to 2024, the use of tobacco products decreased generally, particularly e-cigarette consumption, which dropped from 7.7% to 5.9%. Hookah use also decreased.
Differences by Education Level
10.1% of high school students reported using a tobacco product in the last 30 days, compared to 5.4% of middle school students.
Differences by Gender and Ethnicity
American Indian and Alaska Native students showed the highest usage rate (16.3%), followed by non-Hispanic African Americans (10%) and Hispanic students (8.4%).