ArticlePublic health reports (Washington, D.C. : 1974)
Temporal Trends in Tobacco Product Use Among US Middle and High School Students: National Youth Tobacco Survey, 2011-2020.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Tobacco and nicotine product use patterns and trends among United States youth and young adults (2021-2024).Preventive medicine reports · 2026Article
- Electronic cigarettes, endothelial dysfunction, and erectile health: an emerging sexual medicine concern.International journal of impotence research · 2026Review
- State-Level Flavored E-Cigarette Bans and Initiation Rates Among Youths and Adults.JAMA network open · 2026Article
- Chemical Analysis and Flavor Distribution of Electronic Cigarettes in Australian Schools.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- 2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2025Review
- Gaps in Awareness of the United States Minimum Legal Age of E-Cigarette and Cigarette Sales: Implications for Public Health Messaging.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Prevalence of smoking among undergraduate students in the Kingdom of Saudi Arabia: A meta-analysis.Tobacco induced diseases · 2025Review
- Flavokavains A- and B-Free Kava Enhances Resilience against the Adverse Health Effects of Tobacco Smoke in Mice.ACS pharmacology & translational science · 2024Article
- Behavioral Precursors of Nicotine Product Use Trajectories Among Youth.American journal of preventive medicine · 2024Article
- Birth-cohort patterns of e-cigarette and other tobacco use among adolescents in the US.Preventive medicine · 2024Article
- Prevalence and correlates of flavored novel oral nicotine product use among a national sample of youth.Addictive behaviors · 2024Article
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Poly-tobacco use and mental health in South Korean adolescents.Tobacco induced diseases · 2024Article
- Factors influencing the overall satisfaction of teachers participating in a nationwide school-based smoking prevention program in Korea.Tobacco induced diseases · 2024Article
- E-Cigarette Use Among US Adults in the 2021 Behavioral Risk Factor Surveillance System Survey.JAMA network open · 2023Article
- Patterns of tobacco product use and substance misuse among adolescents in the United States.Preventive medicine reports · 2023Article
- The effects of electronic nicotine vapor on voluntary alcohol consumption in female and male C57BL/6 J mice.Drug and alcohol dependence · 2022Article
- Puffing topography: a tool to evaluate vaping behavior and exposure risks.Inhalation toxicologyReview
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7 authors.
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Abstract
objectivesDespite significant declines in cigarette smoking during the past decade, other tobacco products gained popularity among middle and high school students. This study examined temporal trends in exclusive and concurrent use of tobacco products among middle and high school students in the United States from 2011 through 2020.
methodsWe used multiple annual datasets from the National Youth Tobacco Survey from 2011 through 2020 (N = 193 350) to examine trends of current (past 30 days) exclusive, dual, and poly use of tobacco products (ie, cigarettes, electronic cigarettes [e-cigarettes], cigars, hookahs, and smokeless tobacco). We used joinpoint regression models to calculate log-linear trends in annual percentage change (APC).
resultsDuring 2011-2020, exclusive use of any tobacco product decreased significantly, except for e-cigarettes, which increased significantly at an APC of 226.8% during 2011-2014 and 14.6% during 2014-2020. This increase was more pronounced among high school students (APC = 336.6% [2011-2014] and 15.7% [2014-2020]) than among middle school students (APC = 10.4% [2014-2020]) and among male students (APC = 252.8% [2011-2014] and 14.8% [2014-2020]) than among female students (APC = 13.6% [2014-2020]). During 2011-2020, we also found upward trends in dual use of e-cigarettes and cigarettes (APC = 17.3%). Poly use of e-cigarettes, cigarettes, and any other tobacco products increased significantly at an APC of 57.1% during 2011-2014.
conclusionsThe emergence of new tobacco products such as e-cigarettes in the US market has shifted the landscape of tobacco use among adolescents in the last decade toward poly product use, in which e-cigarettes are a prominent component. Our findings underscore the increasing complexity of tobacco use among adolescents in the United States and the need for strong policies and regulations adapted to evolving trends in cigarette and noncigarette tobacco products.
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