Tobacco Use Among Middle and High School Students: 2025 National Youth Tobacco Survey

Tobacco Use Among Middle and High School Students: 2025 National Youth Tobacco Survey, in Pediatrics

key takeaway: "Tobacco use continued declining through 2025, when 7.2% of youth used tobacco. Only nicotine pouches increased, doubling from 0.8% in 2021 to 1.7% in 2025. Pouches were the second most used tobacco product, after e-cigarettes (5.2%). Most youth used flavored tobacco products. E-cigarette use intensity increased over time, with daily use growing from 9.4% in 2014 to 35.4% in 2025. Dual and poly use is common among e-cigarette and pouch users."