Tobacco Product Use and Associated Factors Among Middle and High School Students 2021

An estimated 34% of high school students and 11.3% of middle school students reported ever using a tobacco product. Current (past-30 day) use of a tobacco product was 13.4% for high school students and 4% for middle school students. E-cigarettes were the most commonly currently used tobacco product, cited by 11.3% of high school students and 2.8% of middle school students, followed by cigarettes, cigars, smokeless tobacco, hookahs, nicotine pouches, heated tobacco products, and pipe tobacco. Current use of any tobacco product was reported by 14.2% of students identifying as lesbian, gay, or bisexual (versus 7.9% of heterosexual); 18.9% of students identifying as transgender (versus 8.2% of not transgender); and 14.2% of students reporting severe psychological distress (versus 5.5% with no distress).