According to the 2023 National Youth Tobacco Survey, tobacco product use among middle and high school students in the United States remains a significant concern.

In 2023, approximately 10.0% of these students, equivalent to 2.80 million individuals, reported current tobacco product use, indicating that tobacco use during adolescence remains unsafe. Notably, there was a decline in the use of e-cigarettes among high school students, decreasing from 14.1% in 2022 to 10.0% in 2023. However, e-cigarettes continued to be the most commonly used tobacco product among youth. Of the students who currently used e-cigarettes, 25.2% reported daily usage, and a substantial 89.4% used flavored e-cigarettes.

The survey comes on the heels of high-profile cases against tobacco and vape companies. Critics have alleged that companies target youth with their advertisements and flavors. Juul ended up settling for over $1 billion.