{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:02:58Z","timestamp":1792735378051,"version":"4.5.0"},"reference-count":16,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"\n BACKGROUND AND OBJECTIVES<\/jats:title>\n This paper summarizes 2025 findings of the National Youth Tobacco Survey (NYTS) regarding middle and high school students\u2019 use of tobacco and compares these findings with historical information on the 2 most common products used by youth, e-cigarettes and nicotine pouches.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Prevalence estimates from the NYTS public use dataset, accounting for complex survey design, are presented.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Tobacco use continued declining through 2025, when 7.2% of youth used tobacco. Only nicotine pouches increased, doubling from 0.8% in 2021 to 1.7% in 2025. Pouches were the second-most-used tobacco product, after e-cigarettes (5.2%). Most youth used flavored tobacco products. E-cigarette use intensity increased over time, with daily use growing from 9.4% in 2014 to 35.4% in 2025. Dual and poly use is common among e-cigarette and pouch users.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n Although progress continued in reducing overall youth tobacco use, nicotine pouch use doubled. The changing market, elimination of the Centers for Disease Control and Prevention Office on Smoking and Health, and protobacco Food and Drug Administration regulatory decisions threaten progress in youth tobacco control, increasing the importance of state and local tobacco control policies, including comprehensive flavor bans, smokefree laws, and consistently higher taxes across all tobacco products.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2026-077008","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T04:01:38Z","timestamp":1782792098000},"source":"Crossref","is-referenced-by-count":2,"title":["Tobacco Use Among Middle and High School Students: 2025 National Youth Tobacco Survey"],"prefix":"10.1542","volume":"158","author":[{"given":"Stanton A.","family":"Glantz","sequence":"first","affiliation":[{"name":"Retired University of California San Francisco Professor of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"issue":"41","key":"2026100508170440900_r1","doi-asserted-by":"crossref","first-page":"917","DOI":"10.15585\/mmwr.mm7341a2","article-title":"Tobacco product use among middle and high school students - National Youth Tobacco Survey, United States, 2024","volume":"73","author":"Jamal","year":"2024","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"2026100508170440900_r2","article-title":"National Youth Tobacco Survey (NYTS)","author":"US Food and Drug Administration","year":"2026"},{"issue":"Supp_1","key":"2026100508170440900_r3","doi-asserted-by":"crossref","first-page":"103361","DOI":"10.1016\/j.pmedr.2025.103361","article-title":"E-cigarette concept flavors in the United States: an analysis of product packages from online stores","volume":"66","author":"Ma","year":"2026","journal-title":"Prev Med Rep."},{"issue":"2","key":"2026100508170440900_r4","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1136\/tc-2023-058125","article-title":"Effects of \u2018ice\u2019 flavoured e-cigarettes with synthetic cooling agent WS-23 or menthol on user-reported appeal and sensory attributes","volume":"34","author":"Tackett","year":"2025","journal-title":"Tob Control."},{"key":"2026100508170440900_r5","article-title":"Technical Project Lead (TPL) Review of PMTAs for ZYN","author":"US Food and Drug Administration"},{"issue":"10","key":"2026100508170440900_r6","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.2105\/AJPH.2017.303935","article-title":"Tobacco industry research on nicotine replacement therapy: \u201cIf anyone is going to take away our business it should be us\u201d","volume":"107","author":"Apollonio","year":"2017","journal-title":"Am J Public Health."},{"key":"2026100508170440900_r7","article-title":"Flavored electronic nicotine delivery systems (ENDS) premarket applications \u2013 considerations related to youth risk - draft guidance for industry","author":"US Food and Drug Administration","year":"2026"},{"key":"2026100508170440900_r8","article-title":"FDA expands market access, authorizes new ENDS products","author":"US Food and Drug Administration","year":"2026"},{"key":"2026100508170440900_r9","article-title":"FDA announces its first OK of fruit-flavored e-cigarettes for adults in major shift under Trump","author":"Perrone","year":"2026","journal-title":"AP News."},{"key":"2026100508170440900_r10","article-title":"Enforcement priorities for certain new tobacco products marketed without premarket authorization","author":"US Food and Drug Administration","year":"2026"},{"issue":"11","key":"2026100508170440900_r11","doi-asserted-by":"crossref","first-page":"e2240671","DOI":"10.1001\/jamanetworkopen.2022.40671","article-title":"Nicotine addiction and intensity of e-cigarette use by adolescents in the US, 2014 to 2021","volume":"5","author":"Glantz","year":"2022","journal-title":"JAMA Netw Open."},{"key":"2026100508170440900_r12","article-title":"CRST-CAsTor data brief: tobacco product use among middle and high school students \u2014 National Youth Tobacco Survey, United States, 2025","author":"Bover Manderski","year":"2026"},{"issue":"3","key":"2026100508170440900_r13","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1136\/tc-2026-060273","article-title":"What the assault on the US Centers for Disease Control\u2019s Office on Smoking and Health means for the USA and global public health","volume":"35","author":"McAfee","year":"2026","journal-title":"Tob Control."},{"issue":"4","key":"2026100508170440900_r14","doi-asserted-by":"crossref","first-page":"e260631","DOI":"10.1001\/jamahealthforum.2026.0631","article-title":"Local flavored tobacco bans and youth electronic nicotine delivery systems use","volume":"7","author":"Appolon","year":"2026","journal-title":"JAMA Health Forum."},{"issue":"9","key":"2026100508170440900_r15","doi-asserted-by":"crossref","first-page":"e152285","DOI":"10.1001\/jamapediatrics.2015.2285","article-title":"Association of smoke-free laws with lower percentages of new and current smokers among adolescents and young adults: an 11-year longitudinal study","volume":"169","author":"Song","year":"2015","journal-title":"JAMA Pediatr."},{"issue":"6","key":"2026100508170440900_r16","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.amepre.2023.01.015","article-title":"Investigating the impact of e-cigarette price and tax on e-cigarette use behavior","volume":"64","author":"Diaz","year":"2023","journal-title":"Am J Prev Med."}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2026-077008\/1964154\/pediatrics.2026077008.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2026-077008\/1964154\/pediatrics.2026077008.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:17:11Z","timestamp":1791202631000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/158\/4\/e2026077008\/208181\/Tobacco-Use-Among-Middle-and-High-School-Students"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,9,25]]},"published-print":{"date-parts":[[2026,10,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2026-077008","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"article-number":"e2026077008"}}