Table 4.

Cigarette Use Among United States Adolescents by High School Grade, 1991 vs 2021

Cigarette Use by Year, % (95% CI)a
Cigarette Usage CategoryHigh School Grade19912021
Ever964.8 (61.6-67.9)13.9 (11.6-16.6)
1068.3 (64.8-71.6)16.4 (13.9-19.2)
1172.8 (69.3-76.0)18.3 (16.1-20.7)
1274.5 (71.2-77.6)22.7 (19.7-26.0)
Overall70.1 (67.8-72.3)17.8 (15.9-19.9)
Occasional923.2 (19.5-27.4)2.2 (1.6-3.0)
1025.2 (22.5-28.1)3.8 (3.0-4.8)
1131.6 (27.8-35.7)4.1 (3.4-5.0)
1230.1 (25.7-34.8)5.2 (4.4-6.2)
Overall27.5 (24.8-30.3)3.8 (3.3-4.4)
Frequent98.4 (6.2-11.3)0.4 (0.2-0.8)
1011.3 (9.0-14.1)0.6 (0.3-1.3)
1115.6 (12.9-18.8)0.8 (0.4-1.4)
1215.6 (12.4-19.4)1.0 (0.7-1.5)
Overall12.7 (10.6-15.3)0.7 (0.6-1.0)
Daily96.4 (4.6-8.7)0.3 (0.1-0.7)
108.8 (6.5-11.8)0.4 (0.2-0.9)
1112.2 (9.7-15.2)0.6 (0.3-1.0)
1212.2 (9.7-15.2)0.9 (0.6-1.3)
Overall9.8 (7.8-12.2)0.6 (0.4-0.8)
  • aStatistically significant differences (P<0.05) were observed in cigarette use between 1991 and 2021 across all high school grades.

  • Note: Ever is defined as taking even 1 or 2 puffs; occasional is defined as smoking on at least 1 day during the 30 days before completing the Youth Risk Behavior Survey; frequent is defined as smoking on 20 or more days during the 30 days before the survey; and daily is defined as smoking on all 30 days during the 30 days before the survey.