2019

NATIONAL
OVER

MORE THAN

3.6 M
5 Million
youth are currently using e-cigarettes

MORE THAN

5M

Y O U T H
2018 2019

TOBACCO NEARLY 1 Million

SURVEY used the product daily

ABOUT

1.6 MILLION
S H O W S youth used the
product frequently
(on 20 or more

YOUTH
days per month)
e-cigarette
use at

ALARMING MAJORIT
MA JORITY
Y of the current
current

LEVELS
e-cigar
e-cigaret
ettte users
users report
reported
ed

JUUL
as their usual brand

Current e-cigarette use has INCREASED DRAMATICALLY, while current cigarette use
has dropped, UNDERMINING PROGRESS toward reducing overall tobacco use

30 27.5% high school e-cigarette use

CURRENT TOBACCO USE (%)

25
20 10.5% middle school e-cigarette use
15
10 5.8% high school cigarette use
5
0 2.3% middle school cigarette use
11

12

13

14

16
15

17

18

19
20

20

20

20

20
20

20

20

20

Why is this concerning?

The use of e-cigaret
e-cigaretttes, particularly
particularly those with high lelevels of nicotine,
nicotine, plac
places
es youth
youth at risk forfor
de
devvel
eloping
oping nicotine
nicotine addiction. Nic
Nicotine
otine exposur
exposuree during adoladolesc
escenc
encee coul
could
d harm brain
brain de
devvel
elopment.
opment.
Additionall
Additionallyy, youth
youth who use e-cigaret
e-cigaretttes are
are more
more lik
likel
elyy to
to st
start smoking cigar
cigaret
etttes. Further
Further,,
e-cigaret
e-cigarettte aerosol
aerosol may
may expose
expose users
users to
to other harmful subssubsttanc
ances
es such as heavy metmetals,
als, vvolatil
olatile
e
organic
organic compounds,
compounds, and ul ultr
trafine
afine particles
particles that coul
couldd harm the lungs.

CENTER FOR TOBACCO PRODUCTS

Source: 1) Cullen KA, Gentzke AS, Sawdey MD, et al. E-cigarette Use Among Youth in the United States, 2019. JAMA. 2019; 2) Gentzke AS, Creamer M, Cullen KA, et al. Vital Signs:
Tobacco Product Use Among Middle and High School Students — United States, 2011–2018. MMWR Morb Mortal Wkly Rep 2019.
Note: All numbers presented here are estimates.

CTP-136 www.fda.gov/tobacco @FDATobacco facebook.com/fda