Tobacco Products

Youth Tobacco Use: Results from the National Youth Tobacco Survey

On this page:

2018 Youth Tobacco Use in the U.S.

CDC, NCI, and FDA released findings from the 2018 National Youth Tobacco Survey. The findings include current use of seven tobacco products, including cigarettes, cigars, e-cigarettes, smokeless tobacco, pipe tobacco, hookah tobacco, and bidi, as well as findings on use of multiple products and frequency of use. The results show that there were alarming increases in current use of any tobacco product among both middle and high school students between 2017 and 2018, primarily because of an increase in e-cigarette use.  No significant changes occurred in current use of combustible tobacco products, such as cigarettes and cigars, during this period.  The increases in current use of any tobacco product and e-cigarettes have reversed a decline observed in recent years.

Download Download PDF

2018 National Youth Tobacco Survey Findings

National Youth Tobacco Survey statistics

Understanding Why Students Use E-Cigarettes

CDC and FDA analyzed data from NYTS 2016 to assess reasons youth use e-cigarettes. Among those who had ever used an e-cigarette, the most commonly selected reasons for use were:

  • Use by "friend or family member" (39.0%)
  • Availability of "flavors such as mint, candy, fruit, or chocolate" (31.0%)
  • The belief that "they are less harmful than other forms of tobacco such as cigarettes" (17.1%)

Read the full report: Reasons for Electronic Cigarette Use Among Middle and High School Students—National Youth Tobacco Survey, United States, 2016

Goals of NYTS

FDA is committed to a science-based approach that addresses public health issues associated with tobacco use. We collaborate with CDC on this nationally representative survey of middle and high school students that focuses exclusively on tobacco use. NYTS was designed to provide national data on long-term, intermediate, and short-term indicators key to the design, implementation, and evaluation of comprehensive tobacco prevention and control programs.


Page Last Updated: 02/11/2019
Note: If you need help accessing information in different file formats, see Instructions for Downloading Viewers and Players.
Language Assistance Available: Español | 繁體中文 | Tiếng Việt | 한국어 | Tagalog | Русский | العربية | Kreyòl Ayisyen | Français | Polski | Português | Italiano | Deutsch | 日本語 | فارسی | English