Abstract
The 2009 Family Smoking Prevention and Tobacco Control Act prohibits the inclusion of characterizing flavors (e.g., candy or fruit) other than tobacco and menthol in cigarettes; however, characterizing flavors are not currently prohibited in other tobacco products at the federal level.* Flavored tobacco products can appeal to youths and young adults and influence initiation and establishment of tobacco-use patterns (1). The Food and Drug Administration (FDA) and CDC analyzed data from the 2014-2018 National Youth Tobacco Surveys (NYTS) to determine prevalence of current (past 30-day) use of flavored tobacco products, including electronic cigarettes (e-cigarettes), hookah tobacco, cigars, pipe tobacco, smokeless tobacco, bidis, and menthol cigarettes among U.S. middle school (grades 6-8) and high school (grades 9-12) students. In 2018, an estimated 3.15 million (64.1%) youth tobacco product users currently used one or more flavored tobacco products, compared with 3.26 million (70.0%) in 2014. Despite this overall decrease in use of flavored tobacco products, current use of flavored e-cigarettes increased among high school students during 2014-2018; among middle school students, current use of flavored e-cigarettes increased during 2015-2018, following a decrease during 2014-2015. During 2014-2018, current use of flavored hookah tobacco decreased among middle and high school students; current use of flavored smokeless tobacco, cigars, pipe tobacco, and menthol cigarettes decreased among high school students. Full implementation of comprehensive tobacco prevention and control strategies, coupled with regulation of tobacco products by FDA, can help prevent and reduce use of tobacco products, including flavored tobacco products, among U.S. youths (2,3).
Highlights
Flavored tobacco products can appeal to youths and young adults
Current use of other flavored tobacco products decreased among high school students but did not change among middle school students
No potential conflicts of interest were disclosed
Summary
Flavored Tobacco Product Use Among Middle and High School Students — United States, 2014–2018. The Food and Drug Administration (FDA) and CDC analyzed data from the 2014–2018 National Youth Tobacco Surveys (NYTS) to determine prevalence of current (past 30-day) use of flavored tobacco products, including electronic cigarettes (e-cigarettes), hookah tobacco, cigars, pipe tobacco, smokeless tobacco, bidis, and menthol cigarettes among U.S middle school (grades 6–8) and high school (grades 9–12) students. The percentage of current tobacco users who reported flavored product use in the past 30 days was 65.2% for e-cigarettes, 45.7% for menthol cigarettes, 43.6% for cigars, 38.9% for bidis, 37.5% for any smokeless tobacco, 26.5% for tobacco in pipes, and 26.1% for hookah (Table). Among middle school tobacco product users (Figure), a significant linear decrease in flavored hookah tobacco use (from 44.3% to 18.3%) occurred during 2014–2018. No significant change in use of any flavored tobacco, flavored smokeless tobacco, cigars, pipe tobacco, or menthol cigarettes among middle school students occurred during 2014–2018
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