What is already known about this topic?
Most tobacco product use begins during adolescence or young adulthood, increasing the risk for lifelong nicotine addiction and adverse health effects.
What is added by this report?
During 2015–2017, the proportion of students currently using cigarettes, cigars, e-cigarettes, smokeless tobacco, or hookahs who used each product ≥20 of the past 30 days ranged from 14.0% of cigar smokers to 38.7% of smokeless tobacco users among high school students and from 13.1% of e-cigarette users to 24.5% of hookah smokers among middle school students.
What are the implications for public health practice?
Understanding tobacco product use patterns including frequency of use is important for sustained implementation of proven tobacco control strategies and the regulation of tobacco products.