Notes from the Field: E-Cigarette Use Among Middle and High School Students — United States, 2022


In 2022, 2.55 million U.S. middle and high school students (14.1% of high school students and 3.3% of middle school students) reported using e-cigarettes in the past 30 days (current use). Nearly 85% of those youth reported using flavored e-cigarettes and more than half reported using disposable e-cigarettes.

This study used data from the 2022 National Youth Tobacco Survey (NYTS) to assess e-cigarette use behaviors among U.S. youth. Among the 2.55 million youth who currently used e-cigarettes, more than 4 in 10 reported e-cigarette use on 20 or more of the past 30 days and more than one in four reported daily use. Additionally, 14.5% reported their usual brand was Puff Bar, followed by Vuse (12.5%), Hyde (5.5%), and SMOK (4.0%); more than one fifth (21.8%) reported their usual brand was a brand other than the 13 listed in the survey. Youth use of tobacco products in any formincluding e-cigarettesis unsafe. Such products contain nicotine, which is highly addictive and can harm the developing adolescent brain. Sustained implementation of comprehensive tobacco prevention and control strategies at the national, state, and local levels, coupled with FDA regulation and enforcement, is critical to addressing e-cigarette use among youth.



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