Smoking rates in teens have dropped considerably over the last decade, but the rate of decline has ground to a halt in recent years, according to the latest data from the Centers for Disease Control and Prevention (CDC).
In a study released Thursday, CDC researchers report that from 2000 to 2011, middle schoolers’ use of any tobacco, including chew tobacco, declined from 14.9% to 7.1%; use of any smokable tobacco, including cigars, pipes and bidis, fell from 14% to 6.3%; and cigarette smoking dropped from 10.7% to 4.3%. High school students registered similar declines, though overall rates of tobacco use in that age group remained high: from 200o to 2011, any tobacco use went from 34.4% to 23.2%; smokable tobacco use dropped from 33.1% to 21.0%; and cigarette smoking went from 27.9% to 15.8%. The data come from the 2011 National Youth Tobacco Survey (NYTS).
But while teen tobacco use plummeted in the U.S. between 1997 to 2003, that decline started losing momentum in the early 2000s as states cut funding for tobacco-control programs. Indeed, from 2009 to 2011, there was no significant decline in tobacco use among middle school students. And at least 1 in 5 high school kids are still using some form of tobacco.
“We had a very strong emphasis on funding for state programs between 1997 and 2003. What’s happened in the last five years is a disturbing decline in state investments in comprehensive tobacco controlling programs,” says Dr. Tim McAfee, director of CDC’s Office on Smoking and Health. “The funding rate nationwide is 30% to 40% less than what it was four years ago. In some states, these programs have virtually collapsed.”
In 2011, nearly 30% of high school boys and 18% of high school girls used tobacco, while more than 8% of middle school boys and nearly 6% of middle school girls did. “A large majority of people initiate their use of tobacco and smoking in adolescence. We are very concerned that more needs to be done in all levels of our society to rapidly diminish the rate of use in youth and young adults,” says McAfee.
Ninety percent of smokers pick up the habit before they’re 18, and smoking continues to be the leading cause of preventable death and disability in the U.S., with nearly 443,000 deaths each year attributable to smoking or exposure to secondhand smoke.
A disturbing trend emerged when the data were parsed by ethnicity: between 2009 and 2011, cigar use among black high school students jumped from 7.1% to 11.7%. “If there’s one statistic that’s truly alarming, it’s this,” says McAfee. “In many ways middle school and high school use of cigarettes has been a success story in the African American community. But their level of cigar use brings them up to the level of cigarette use among other students.”
Indeed, spikes in cigar use are occurring among smokers overall. Last week, a separate CDC study reported a 123% increase in the consumption of smokable tobacco products like cigars and pipes over the last decade — even while cigarette consumption declined — because because these products aren’t taxed like cigarettes and are therefore cheaper. As adult cigarette smokers switch to cigars to save money, the trend is reflected among youth too.
The findings underscore the need to meet the 2012 Surgeon General’s Report recommendations of making tobacco less affordable, increasing aggressive mass media campaigns and tobacco control programs, and encouraging tougher regulation of tobacco marketing, sales and distribution to youth.
The overall declines in tobacco use are certainly encouraging, said Dr. Thomas Frieden, director of the CDC, in a statement, “but although 4 out of 5 teens don’t smoke, far too many kids start to smoke each day.”
“The good news is we know things we can do that work,” says McAfee. “We succeeded in having much more dramatic rates of decline in the late 90s and early 2000s. We have new capacity with FDA regulatory authority of tobacco that we’ve never had before. If we work together around this, we can turn it around in a relatively short period of time.”
The study was published in the CDC’s Morbidity and Mortality Weekly Report.