J Adolesc Health

PurposeThe purpose of this study was to assess patterns and trends of tobacco use among high school students to better understand which products are used individually or concurrently.MethodsData from the National Youth Tobacco Survey from 2000 through 2012 were used to assess patterns and trends of current tobacco use (cigarettes, cigars, smokeless tobacco, and other tobacco products) among U.S. high school students. We assessed use of products individually and concurrently.ResultsDuring 2000\u20132012, overall linear declines were observed in current use of any tobacco product from 33.6% to 20.4% (p < .05), current use of only 1 tobacco product, from 18.8% to 10.5% (p < .05), and current poly tobacco use, from 14.7% to 9.9% (p < .05), among high school students. Overall current use of only cigarettes had both a linear decline, from 14.0% to 4.7%, as well as a quadratic trend.ConclusionsDuring 2000\u20132012, the most significant overall decline observed was for students who reported smoking only cigarettes. The results suggest that more data on the use of multiple tobacco products, not just cigarettes, is needed to guide tobacco prevention and control policies and programs.20132015-08-13T00:00:00ZCC999999/Intramural CDC HHS/United States24074604PMC4534716864