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Line graph showing growth in e-cigarette use among high school students, all students, and middle school students. E-cigarette use among U.S. middle and high school students increased 900% during 2011-2015, before declining for the first time during 2015-2017. However, current e-cigarette use increased 78% among high school students during the past year, from 11.7% in 2017 to 20.8% in 2018. Source: National Youth Tobacco Survey 2011-2018 Notes: In 2014, changes were made to the e-cigarette measure to enhance its accuracy.
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E-cigarettes Are Unsafe for Young People

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Behavior Risks

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Use CDC's Parent Tip Sheet to help you talk with your children. This tip sheet offers facts and practical ways to start conversations with young people about the risks of e-cigarette use.

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Learn More

You can find many resources that discuss e-cigarette use among young people on this website. For general information on e-cigarettes, visit For information about Surgeon General's reports, visit

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Please contact us at if you have questions about the report or content on this site.