E-cigarettes remain the most used tobacco product among U.S. youths. The wide availability and growing sales of nicotine pouches have also raised concerns about the potential use of these products among youths.  During 2023–2024, current e-cigarette use among middle and high school students declined from 7.7% to 5.9%. Current nicotine pouch use (1.8%) did not change significantly during this period. Youth e-cigarette use has declined; however, comprehensive tobacco control strategies, regulations, and enforcement remain critical to preventing and reducing e-cigarette and nicotine pouch use among youths.

View the full report via the Morbidity and Mortality Weekly Report website.