Smokeless Tobacco (Chewing Tobacco, Snuff, or Dip)
Middle School
High School
2002
2004
2006
2009
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2002
2004
2006
2009
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Total
3.6
2.9
2.6
2.6
2.2
1.7
1.4
1.6
1.4
1.8
1.4
1.3
1.8
0.9
0.5
0.5
5.9
5.5
6.1
6.7
7.3
6.4
5.7
5.5
5.6
4.3
4.1
4.3
4.8
2.7
1.0
1.2
Male
5.3
3.9
4.1
3.7
3.0
2.2
1.9
2.1
1.9
2.4
2.0
2.2
2.7
1.2
0.7
0.6
10.5
9.9
11.0
11.6
12.9
11.2
9.6
9.9
9.4
7.2
6.8
7.5
7.5
4.5
1.6
1.8
Female
1.6
1.9
1.2
1.4
1.4
1.2
0.8
N/A
0.8
1.1
0.8
0.3
N/A
0.6
N/A
0.4
1.2
1.2
1.5
1.8
1.6
1.5
1.7
1.2
1.6
1.4
1.3
1.3
1.8
0.8
N/A
0.7
Non-Hispanic White
3.8
3.1
2.8
2.5
2.3
1.6
1.4
1.7
1.2
1.6
1.2
1.4
1.9
1.1
0.4
0.4
7.3
6.9
7.5
8.5
9.2
8.1
7.5
7.8
7.5
5.7
5.7
6.0
6.5
3.7
1.3
1.6
Non-Hispanic Black
2.3
1.8
1.7
1.7
1.0
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1.8
1.4
1.8
1.7
3.0
2.2
2.4
1.1
1.9
1.6
N/A
N/A
N/A
N/A
N/A
N/A
Hispanic
2.7
3.7
3.4
2.5
2.9
2.4
1.8
1.3
1.9
2.4
2.3
1.4
N/A
N/A
N/A
N/A
3.3
3.2
4.6
4.8
5.1
5.1
4.0
3.1
3.8
2.7
2.2
2.5
2.5
1.8
N/A
1.1
Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2022. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009, 2023 from MMWRs.
N/A Estimate is unreliable due to a sample size of less than 20.
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