Youth Tobacco Use

Youth Tobacco Use 
National and Maryland 
 

 

 

 

 

 

Tobacco Use in High School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013* 

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall 

24.6%  

20.2%  

19.6%  

31.2% 

16.9%  

27.6% 

21.6%  

27.4% 

Male  

28.3%  

23.5%  

21.5%  

31.8% 

19.7%  

29.6% 

23.5%  

27.9% 

Female  

20.9%  

17.0%  

17.5%  

30.6% 

13.6%  

25.0% 

18.5%  

26.0% 

*ESDs included in Maryland data beginning in 2014  

 

Tobacco Use in Middle School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013* 

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall 

7.7%  

7.2%  

5.6%  

12.5% 

5.6%  

11.1%  

7.6%  

9.0% 

Male  

8.8%  

8.3%  

6.4%  

12.5% 

6.50%  

12.2%  

7.8%  

9.2% 

Female  

6.6%  

5.9%  

4.8%  

12.4% 

4.70%  

9.5%  

7.0%  

8.4% 

*ESDs included in Maryland data beginning in 2014  

 

E-Cigarette Use in High School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall  

13.4%  

11.4%  

11.7%  

27.5%  

20.0% 

13.3% 

23.0% 

Male  

15.0%  

13.2%  

13.3%  

27.6%  

20.8% 

14.0% 

22.7% 

Female  

11.9%  

9.5%  

9.9%  

27.4%  

18.7% 

12.1% 

23.1% 

 

E-Cigarette Use in Middle School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall  

3.9%  

4.2%  

3.6%  

10.5% 

7.6% 

4.7% 

5.9% 

Male  

4.50%  

5.0%  

4.1%  

10.2% 

8.0% 

4.5% 

5.7 

Female  

3.3%  

3.4%  

3.0%  

10.8% 

7.1% 

4.8% 

6.1 

 

Cigarette Use in High School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013  

Maryland2015 

Maryland 2017 

Maryland 2019 

Overall 

9.2%  

8.2%  

7.7%  

5.8% 

11.9%  

8.7%  

8.2% 

5.0% 

Male  

10.6%  

9.3%  

7.6%  

7.3% 

13.2%  

9.3%  

9.3% 

5.7% 

Female  

7.9%  

7.0%  

7.6%  

4.1% 

10.0%  

7.7%  

6.3% 

3.5% 

 

 

Cigarette Use in Middle School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall 

2.5%  

2.1%  

2.3%  

2.3% 

3.9%  

2.5%  

1.3%  

1.1% 

Male  

3.0%  

2.4%  

2.3%  

2.1% 

4.2%  

2.8%  

1.5%  

1.2% 

Female  

2.0%  

1.7%  

2.3%  

2.5% 

3.5%  

2.0%  

1.2%  

0.9% 

 

 

Cigar Use in High School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall  

8.2%  

7.8%  

7.7%  

7.6% 

12.5%  

10.3% 

9.0% 

6.0% 

Male  

10.8%  

10.0%  

9.0%  

9.0% 

15.5%  

12.3% 

10.9% 

7.5 

Female  

5.5%  

5.7%  

6.3%  

6.2% 

8.7%  

7.8% 

6.3% 

3.8 

 

Cigar Use in Middle School Students 

 

National 2014  

National 2016  

National 2017  

National 2019  

Maryland 2013  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall  

1.9%  

2.1%  

1.7%  

2.3% 

4.2  

3.6% 

2.5% 

1.8% 

Male  

2.4%  

2.6%  

1.9%  

2.7% 

5.1%  

4.5% 

2.8% 

2.1% 

Female  

1.4%  

1.6%  

1.5%  

2.0% 

3.0%  

2.4% 

2.1% 

1.4% 

 

Hookah Use in High School Students  

 

National 2014  

National 2016  

National 2017  

National 2019 

Overall  

9.4%  

5.0%  

3.4%  

3.4% 

Male  

8.9%  

4.7%  

3.4%  

3.6% 

Female  

9.8%  

5.2%  

3.3%  

3.2% 

 

Hookah Use in Middle School Students  

 

National 2014  

National 2016  

National 2017  

National 2019 

Overall  

2.5%  

2.0%  

1.4%  

1.6% 

Male  

2.4%  

2.0%  

1.6%  

1.3% 

Female  

2.6%  

1.9%  

1.1%  

1.8% 

 

Smokeless Tobacco Use in High School Students 

 

National 2014  

National 2016  

National 2017  

National 2019 

Maryland 2013  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall 

5.50%  

4.4%  

4.1%  

4.8% 

7.4%  

5.8% 

6.2% 

4.6% 

Male  

9.90%  

7.3%  

6.7%  

7.5% 

10.7%  

8.3% 

8.3% 

6.3% 

Female  

1.20%  

1.6%  

1.3%  

1.8% 

3.3%  

2.7% 

3.2% 

2.1% 

 

Smokeless Tobacco Use in Middle School Students 

 

National 2014  

National 2016  

National 2017  

National 2019 

Maryland 2013  

Maryland 2015 

Maryland 2017 

Maryland 2019 

Overall 

1.60%  

1.6%  

1.6%  

1.8% 

3.0%  

1.9% 

1.9% 

2.2% 

Male  

2.10%  

2.3%  

2.3%  

2.7% 

3.8%  

2.5% 

2.3% 

2.4% 

Female  

N/A 

0.9%  

0.8%  

0.5% 

2.1%  

1.0% 

1.3% 

1.8% 

 

Pipe Use in High School Students  

 

National 2014  

National 2016  

National 2017  

National 2019 

Overall  

1.5%  

1.5%  

0.9%  

1.1% 

Male  

2.1%  

2.0%  

1.0%  

1.5% 

Female  

0.9%  

1.0%  

0.5%  

0.6 

 

Pipe Use in Middle School Students  

 

National 2014  

National 2016  

National 2017  

National 2019 

Overall  

0.6%  

0.6%  

0.5%  

0.5% 

Male  

N/A 

0.7%  

0.6% 

0.6% 

Female  

N/A 

0.5%  

0.2% 

0.4% 

 

Bidis Use in High School Students  

 

National 2014  

National 2016  

National 2017  

National 2019 

Overall  

0.9%  

0.6%  

0.7%  

0.4% 

Male  

1.2%  

0.7%  

0.7%  

0.5% 

Female  

0.6%  

0.4%  

0.6%  

0.2% 

 

Bidis Use in Middle School Students  

 

National 2014  

National 2016 

National 2017 

National 2019 

Overall 

0.5%  

0.3%  

0.3% 

0.4% 

Male  

N/A 

0.4%  

0.3% 

0.5% 

Female  

0.3%  

0.2%  

0.3% 

0.3% 

 

 

 

 

 

 

 

 

  • Graph represents “yes” responses to the question “Do you smoke cigarettes?” 

  • Publicly-available data from 2012 forward for mental health treatment recipients 

  • Beginning in 2015, data from substance use treatment recipients also became available, which is very important because rates of smoking among SUDs are patients very high. 

  • Rate among those receiving MH treatment have dropped consistently over time, whereas rate of smoking among SUD users remains high. 

The above data on behavioral health was taken from the Maryland Outcomes Measurement System (OMS) Data Mart which is designed to track adults, children, and adolescents receiving outpatient mental health treatment services in Maryland's Public Mental Health System. For a more complete list of outcomes visit: http://maryland.beaconhealthoptions.com/services/OMS_Welcome.html 

 

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References: 

References:  

Centers for Disease Control and Prevention. Historical NYTS Data and Documentation. Retrieved from https://www.cdc.gov/tobacco/data_statistics/surveys/nyts/data/index.html 

Centers for Disease Control and Prevention. (2014). Smoking and tobacco use: Youth and tobacco use. Retrieved from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacc 

Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System: Custom Reports | OSH | CDC. (2015). Retrieved from https://nccd.cdc.gov/STATESystem/rdPage.aspx?rdReport=OSH_State.CustomRe... dShowModes=showResults&rdShowWait=true&rdPaging=Interactive&islMeasure=182TUS 

Centers for Disease Control and Prevention. Wang, T., Gentzke, A., Sharapova, S., Cullen, K., Ambrose, B., & Jamal, A. (2018). Tobacco Product Use Among Middle and High School Students — United States, 2011–2017. Retrieved from https://www.cdc.gov/mmwr/volumes/67/wr/mm6722a3.htm?s_cid=mm6722a3w Mar... Department of Health and Mental Hygiene. (2013). 

Youth Risk Behavior Survey (YRBS). Retrieved from phpa.health.maryland.gov/ccdpc/Reports/Documents/2013%20YRBS%20Reports/2013-YRBSReport.pdf(link is external) 

Maryland Department of Health and Mental Hygiene. (2016). Youth Risk Behavior Survey (YRBS). Retrieved from https://phpa.health.maryland.gov/ccdpc/Reports/Documents/2016%20YRBS%20Y(link is external)...