Share of U.S. middle school students who used tobacco products 2023, by gender

Past 30-day use of electronic cigarettes was determined by asking, “During the past 30 days, on how many days did you use electronic cigarettes or e-cigarettes?” Past 30-day use of cigarettes was determined by asking, “During the past 30 days, on how many days did you smoke cigarettes?” Past 30-day use of cigars was determined by asking, “During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?” Past 30-day use of hookahs was determined by asking, “During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?” Smokeless tobacco was defined as use of chewing tobacco, snuff, dip, snus, and/or dissolvable tobacco products. Past 30-day use of smokeless tobacco was determined by asking the following question regarding chewing tobacco, snuff, and dip: “During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?,” and the following question for use of snus and dissolvable tobacco products: “In the past 30 days, which of the following products did you use on at least one day: snus, dissolvable tobacco products?.” Responses from these questions were combined to derive overall smokeless tobacco use. Past 30-day use of pipe tobacco and bidis were determined by asking, “In the past 30 days, which of the following products have you used on at least one day: pipe filled with tobacco (not waterpipe), bidis (small brown cigarettes wrapped in a leaf)?”
* Any tobacco product use is defined as use of any tobacco product (electronic cigarettes, cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, and/or bidis) on at least one day in the past 30 days.