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Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Tel: 1-800-CDC-INFO
(1-800-232-4636)
TTY: 1-888-232-6348
E-mail: tobaccoinfo@cdc.gov
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Morbidity and Mortality Weekly Reports (MMWRs)
Tobacco Use, Access, and Exposure to Tobacco in Media Among Middle and High School Students—United States, 2004
April 1, 2005 / Vol. 54 / No. 12
MMWR Highlights
High School
- From 2002 to 2004, among high school students, there was no significant
decline in the use of tobacco products overall (28.2%) or for
any individual tobacco product.
- In 2004, cigarettes (21.7%) were the most commonly used product,
followed by cigars (12.9%), smokeless tobacco (5.5%),
pipes (3.2%), bidis (2.7%), and kreteks (2.5%).
- Among non–Hispanic blacks from 2002 to 2004, decreases were observed
in the use of any tobacco product (from 21.7% to 16.8%)
and pipes (from 3.7% to 1.7%).
- Among Hispanics from 2002 to 2004, cigar use increased from 10.8
percent to 13.5%, and bidi use increased from 3.5% to
4.8%.
- From 2002 to 2004, a significant overall decline was observed among
high school students who reported seeing actors using tobacco on television
or in movies (from 91.3% to 86.6%).
- During 2002–2004, a significant increase was observed in seeing
tobacco products on the Internet (from 33.5% to 38.6%).
- Among current smokers aged <18 years in high school, 63.4%
were not asked to show proof of age when they purchased or attempted
to purchase cigarettes from a store, and 61.2% were not refused
purchase of cigarettes because of their age. No significant differences
were observed from 2002.
Middle School
- In 2004, 11.8% of middle school students used any tobacco
product. Cigarettes (8.4%) were the most commonly used, followed
by cigars (5.3%), smokeless tobacco (2.8%), bidis (2.4
percent), and kreteks (1.6%). There was no significant difference
in use of any of these products from 2002.
- Among middle school students, pipe use declined significantly from
3.5% in 2002 to 2.7% in 2004.
- From 2002 to 2004, declines among males were observed in the use
of cigarettes (from 9.8% to 7.9%), pipes (from 5.1%
to 3.5%), and kreteks (from 2.7% to 2.0%).
- From 2002 to 2004, declines among Asians were observed in the use
of cigarettes (from 7.4% to 2.7%), cigars (from 5.0%
to 1.2%), and pipes (from 4.6% to 1.5%).
- Among non–Hispanic blacks, use of pipes decreased from 3.9%
in 2002 to 2.2% in 2004.
- Among Hispanics from 2002 to 2004, significant increases were observed
in the use of cigars (from 6.3% to 8.2%) and bidis (from
2.9% to 4.3%).
- From 2002 to 2004, decreases were observed in seeing actors use
tobacco on television or in movies (from 89.9% to 77.8%),
and seeing advertisements for tobacco products on the Internet (from
42.7% to 34.1%).
- In 2004, 69.9% of current cigarette smokers in middle school
were not asked to show proof of age when they purchased or attempted
to purchase cigarettes from a store, and 68.5% were not refused
purchase of cigarettes because of their age. No significant differences
were observed from 2002.
Page last reviewed 02/28/2007
Page last modified 02/28/2007