Maryland's Tobacco Resource Center - Linking Professionals to Best Practices

Youth Tobacco Use

Youth Tobacco Use
National and Maryland
 

Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overal

24.6% 

20.2% 

19.6% 

16.9% 

27.6% 

21.6% 

Male 

28.3% 

23.5% 

21.5% 

19.7% 

29.6% 

23.5% 

Female 

20.9% 

17.0% 

17.5% 

13.6% 

25.0% 

18.5% 

*ESDs included in Maryland data beginning in 2014 

Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

7.7% 

7.2% 

5.6% 

5.90% 

11.1% 

7.6% 

Male 

8.8% 

8.3% 

6.4% 

6.50% 

12.2% 

7.8% 

Female 

6.6% 

5.9% 

4.8% 

4.70% 

9.5% 

7.00% 

 

*ESDs included in Maryland data beginning in 2014 

 

Electronic Cigarette Use in High School Students 

 

National 2014 

National 2016 

National 2017 

National 2019 

Maryland 2014 

Maryland 2016 

Overall 

13.4% 

11.3% 

11.7% 

27.5% 

20.0% 

35.30% 

Male 

15.0% 

13.1% 

13.3% 

27.6% 

20.8% 

35.5% 

Female 

11.9% 

9.5% 

9.9% 

27.4% 

18.7% 

34.9% 

 

Electronic Cigarette Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

3.9% 

4.3% 

3.3% 

Data Unavailable 

7.6% 

7.6% 

Male 

4.50% 

5.1% 

3.7% 

Data Unavailable 

8.0% 

7.8% 

Female 

3.3% 

3.4% 

2.9% 

Data Unavailable 

7.1% 

7.0% 

 

Cigarette Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

9.2% 

8.0% 

7.6% 

11.9% 

8.7% 

8.2% 

Male 

10.6% 

9.1% 

7.6% 

13.2% 

9.3% 

9.3% 

Female 

7.9% 

6.9% 

7.5% 

10.0% 

7.7% 

6.3% 

 

 

Cigarette Use in Middle Schools 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

3.9% 

4.3% 

2.1% 

3.9% 

2.5% 

1.3% 

Male 

4.5% 

5.1% 

2.0% 

4.2% 

2.8% 

1.5% 

Female 

3.3% 

3.4% 

2.2% 

3.5% 

2.0% 

1.2% 

 

 

 

Cigar Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

8.2% 

7.7% 

7.7% 

12.5% 

10.3% 

9.0% 

Male 

10.8% 

9.0% 

9.0% 

15.5% 

12.3% 

10.9% 

Female 

5.5% 

5.6% 

6.3% 

8.7% 

7.8% 

6.3% 

 

Cigar Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overal

5.5% 

5.8% 

5.5% 

7.4% 

5.8% 

6.2% 

Male 

9.9% 

8.3% 

7.7% 

10.7% 

8.3% 

8.3% 

Female 

1.2% 

3.3% 

3.0% 

3.3% 

2.7% 

3.2% 

 

Hookah Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Overall 

9.4% 

4.8% 

1.4% 

Male 

8.9% 

4.5% 

1.6% 

Female 

9.8% 

5.1% 

1.1% 

 

Hookah Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Overall 

2.5% 

2.0% 

1.4% 

Male 

2.4% 

2.1% 

1.6% 

Female 

2.6% 

1.9% 

1.1% 

 

Smokeless Tobacco Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

5.50% 

5.80% 

5.5% 

7.40% 

5.8% 

6.20% 

Male 

9.90% 

8.30% 

7.7% 

10.70% 

8.3% 

8.30% 

Female 

1.20% 

3.30% 

3.0% 

3.30% 

2.7% 

3.20% 

 

Smokeless Tobacco Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Maryland 2013 

Maryland 2014 

Maryland 2016 

Overall 

1.60% 

5.80% 

5.5% 

7.40% 

5.8% 

6.20% 

Male 

2.10% 

8.30% 

7.7% 

10.70% 

8.3% 

8.30% 

Female 

- ** 

3.30% 

3.0% 

3.30% 

2.7% 

3.20% 

 

Pipe Tobacco Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Overall 

1.5% 

1.4% 

0.5% 

Male 

2.1% 

1.8% 

1.0% 

Female 

0.9% 

0.9% 

0.5% 

 

Pipe Tobacco Use in Middle School Students 

 

National 2014 

National 2016 

National 2017 

Overall 

data unavailable

0.70% 

0.4% 

Male 

data unavailable

0.80% 

data unavailable

Female 

data unavailable

0.60% 

data unavailable

 

Bidis Use in High School Students 

 

National 2014 

National 2016 

National 2017 

Overall 

0.9% 

0.5% 

0.7% 

Male 

1.2% 

0.7% 

0.7% 

Female 

0.6% 

0.3% 

0.6% 

 

Bidis Use in Middle School Students 

 

National 2014 

National 2016

National 2017

Overall 

0.5% 

0.3% 

data unavailable

Male 

data unavailable

0.4% 

data unavailable

Female 

0.3% 

data unavailable 

data unavailable

 

 

Current use of Tobacco (including ESDs) in Maryland Youth  

 

 

Middle School Data 

2013 

2014 

2016 

2017

Any Tobacco 

5.6%

 

5.4% 

4.1% 

7.7% 

Cigarettes 

3.9% 

2.5% 

1.3% 

Cigars 

4.2% 

3.6% 

2.5% 

1.9% 

Smokeless tobacco 

3.0% 

1.9% 

1.9% 

1.5% 

E-cigarettes 

7.6% 

4.7% 

3.3% 

Smoking Initiation 

6.5% 

4.2% 

4.1% 

Gender 

Female 

4.7% 

3.9% 

3.3% 

5.6% 

Male 

6.5% 

6.6% 

4.6% 

6.4% 

Race/Ethnicity 

White 

4.2% 

4.3% 

2.9% 

-

African American/ Black 

6.6% 

6.6% 

4.6% 

-

Asian 

2.8% 

2.8% 

2.0% 

Hispanic/Latino 

8.5% 

6.4% 

6.3% 

American Indian/ Alaskan Native 

10.7% 

7.1% 

6.7% 

 

High School Data 

2013 

2014 

2016 

2017 

Any Tobacco 

16.9% 

16.4% 

14.4% 

19.6% 

Cigarettes 

11.9% 

8.7% 

8.2% 

7.6% 

Cigars  

12.5% 

10.3% 

9.0% 

7.7% 

Smokeless tobacco  

7.4% 

5.8% 

6.2% 

5.5% 

E-cigarettes 

20.0% 

13.3% 

11.7% 

Smoking Initiation 

17.9% 

11.0% 

7.7% 

Gender 

Female 

13.6% 

13.1% 

10.8% 

17.5% 

Male 

19.7% 

19.0% 

16.9% 

21.5% 

Race/Ethnicity 

White 

19.0% 

17.6% 

14.4% 

-

African American/ Black 

14.1% 

14.0% 

12.3% 

Asian 

6.8% 

6.1% 

5.4% 

Hispanic/Latino 

18.9% 

17.7% 

16.2% 

American Indian/ Alaskan Native 

25.5% 

30.6% 

26.2% 

 

MD Youth receiving Mental Health Treatment Who Smoke Cigarettes 

 

2015 

2016 

2017 

2018 

Mental Health Services 

1.7% 

1.2% 

1.0% 

1.0% 

Substance Related Disorder Services  

22.2% 

21.1% 

9.4% 

16.7% 

Both 

17.9% 

21.4% 

0.0% 

17.6% 

 

 

Rates of smoking among adolescent behavioral health patients in Maryland

  • Rates of smoking among MH patients are lower than SUD, with Whites smoking at highest rates statewide.

 

2012-2017 adolescent smoking rates in behavioral health treatment

  • Graph represents “yes” responses to the question “Do you smoke cigarettes?”
  • Publicly-available data from 2012 forward for mental health treatment recipients
  • Beginning in 2015, data from substance use treatment recipients also became available, which is very important because rates of smoking among SUDs are patients very high.
  • Rate among those receiving MH treatment have dropped consistently over time, whereas rate of smoking among SUD users remains high.

The above data on behavioral health was taken from the Maryland Outcomes Measurement System (OMS) Data Mart which is designed to track adults, children, and adolescents receiving outpatient mental health treatment services in Maryland's Public Mental Health System. For a more complete list of outcomes visit: http://maryland.beaconhealthoptions.com/services/OMS_Welcome.html(link is external)

Tags: 
References: 

References: Centers for Disease Control and Prevention. (2014). Smoking and tobacco use: Youth and tobacco use. Retrieved from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacc...(link is external)

Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System: Custom Reports | OSH | CDC. (2015). Retrieved from https://nccd.cdc.gov/STATESystem/rdPage.aspx?rdReport=OSH_State.CustomRe... dShowModes=showResults&rdShowWait=true&rdPaging=Interactive&islMeasure=182TUS(link is external)

Centers for Disease Control and Prevention. Wang, T., Gentzke, A., Sharapova, S., Cullen, K., Ambrose, B., & Jamal, A. (2018). Tobacco Product Use Among Middle and High School Students — United States, 2011–2017. Retrieved from https://www.cdc.gov/mmwr/volumes/67/wr/mm6722a3.htm?s_cid=mm6722a3w(link is external) Maryland Department of Health and Mental Hygiene. (2013).

Youth Risk Behavior Survey (YRBS). Retrieved from phpa.health.maryland.gov/ccdpc/Reports/Documents/2013%20YRBS%20Reports/2013-YRBSReport.pdf(link is external)

Maryland Department of Health and Mental Hygiene. (2016). Youth Risk Behavior Survey (YRBS). Retrieved from https://phpa.health.maryland.gov/ccdpc/Reports/Documents/2016%20YRBS%20Y...