Study: Youths using tobacco in many forms

Cigars, e-cigarettes, hookahs becoming increasingly popular

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Cigarette use among middle school and high school students is on the decline, but public health experts at the Centers for Disease Control and Prevention are concerned about other ways that tobacco and nicotine use is rising among kids.

Electronic cigarettes, hookahs and dissolvable tobacco were all more popular in 2012 than in 2011, according to data CDC researchers published this week in the Morbidity and Mortality Weekly Report. Cigar smoking has become more prevalent among high school students. Overall, 6.7 percent of middle school students and 23.3 percent of high school students were using tobacco in 2012. In 2011, the corresponding figures were 7.5 percent and 24.3 percent.

Those figures are based on surveys of roughly 25,000 students in grades 6 through 12 who participated in the National Youth Tobacco Survey. Students were considered current tobacco users if they had smoked a cigarette, cigar, pipe, hookah, electronic cigarette, bidis (thin, hand-rolled cigarettes) or kreteks (clove cigarettes) or used smokeless tobacco, dissolvable tobacco, or snus (a powdered tobacco) at least once in the last 30 days.

The researchers found:

Cigarettes were the most popular form of tobacco or nicotine among middle school students, with 3.5 percent in grades 6 through 8 saying they had smoked a cigarette in the previous 30 days. That was followed by cigars (2.8 percent used them), pipes (1.8 percent), smokeless tobacco (1.7 percent), hookahs (1.3 percent), electronic cigarettes (1.1 percent), snus (0.8 percent), bidis (0.6 percent), kreteks (0.5 percent) and dissolvable tobacco (0.5 percent).

Cigarettes were also the most popular item among high school students, with 14 percent of students in grades 9 through 12 reporting they had smoked one within the last 30 days.

“This report raises a red flag about newer tobacco products,” Dr. Tom Frieden, director of the CDC, said in a statement. “Cigars and hookah tobacco are smoked tobacco — addictive and deadly.”