TABLE 1

Prevalence and Pattern of Current Use of Smokeless Tobacco Products Among All US Middle and High School Students by Type of Smokeless Tobacco Product and Sociodemographic Characteristics, 2011 National Youth Tobacco Survey

CharacteristicUsing Any Smokeless Tobacco Producta (n = 960)Using Snuff or Chewing or Dipping Tobacco Products (n = 838)Using Snus (n = 313)Using Dissolvable Tobacco Products (n = 65)Combining Use of Snus or Dissolvable Tobacco Products Plus Snuff or Chewing or Dipping Tobacco Products (n = 221)Combining Use of Any Smokeless Tobacco Product Plus Combustible Tobacco Productsb (n = 686)
Overall5.6 (4.6–6.6)5.0 (4.1–6.0)1.9 (1.5–2.4)0.3 (0.2–0.4)1.5 (1.1–1.9)4.0 (3.3–4.7)
Age, y
 9–112.2 (0.9–3.6)1.9 (0.7–3.2)1.0 (0.2–1.8)0.8 (0.1–1.5)2.0 (0.7–3.3)
 12–142.8 (2.3–3.4)2.4 (1.9–2.9)0.9 (0.6–1.2)0.2 (0.1–0.3)0.6 (0.3–0.9)2.0 (1.5–2.4)
 15–177.5 (5.9–9.0)6.9 (5.4–8.4)2.7 (2.0–3.4)0.3 (0.1–0.4)2.2 (1.6–2.9)5.4 (4.3–6.5)
 ≥1810.8 (8.1–13.5)10.1 (7.4–12.7)3.6 (2.3–4.9)0.6 (0.1–1.2)3.2 (1.9–4.4)7.8 (5.7–10.0)
Gender
 Female2.0 (1.7–2.4)1.6 (1.2–1.9)0.7 (0.5–0.9)0.2 (0.1–0.3)0.3 (0.2–0.5)1.6 (1.3–2.0)
 Male9.0 (7.2–10.7)8.4 (6.8–10.1)3.2 (2.3–4.0)0.4 (0.3–0.6)2.7 (2.0–3.5)6.3 (5.2–7.5)
School level
 Middle school (grades 6–8)2.6 (2.1–3.1)2.2 (1.7–2.6)0.8 (0.6–1.1)0.2 (0.1–0.4)0.4 (0.3–0.6)1.9 (1.4–2.3)
 High school (grades 9–12)7.7 (6.2–9.3)7.2 (5.6–8.7)2.8 (2.1–3.5)0.4 (0.2–0.5)2.4 (1.7–3.0)5.6 (4.5–6.7)
Race/ethnicity
 White, non-Hispanic6.7 (5.3–8.1)6.2 (4.8–7.6)2.5 (1.8–3.2)0.2 (0.1–0.3)2.0 (1.4–2.6)4.6 (3.6–5.6)
 Black, non-Hispanic2.2 (1.1–3.4)2.2 (1.0–3.3)0.6 (0.2–1.0)0.5 (0.2–0.9)1.6 (0.6–2.5)
 Asian, non-Hispanic2.6 (0.9–4.4)2.1 (0.6–3.5)2.2 (0.6–3.9)
 Hispanic5.0 (4.3–5.7)4.1 (3.4–4.8)1.5 (1.3–1.8)0.5 (0.3–0.8)0.9 (0.6–1.3)4.1 (3.5–4.6)
 AI/AN, non-Hispanic7.4 (3.3–11.6)6.8 (2.6–11.1)3.3 (0.8–5.7)5.1 (3.4–6.8)
  • Data are presented as percentages (95% CI). All data were weighted to account for the complex survey design. AI/AN, American Indian or Alaska Native; —, estimate not reported because relative SE was ≥40%.

  • a Any smokeless tobacco use was defined as use of at least 1 of the following tobacco products on ≥1 day during the past 30 days: snus, dissolvable tobacco products, snuff, or chewing or dipping tobacco.

  • b Current use of any combustible tobacco product was defined as use of at least 1 of the following tobacco products on ≥1 days during the past 30 days: cigarettes (including flavored cigarettes and roll-your-own cigarettes), cigars (including clove cigars and flavored little cigars), bidis, kreteks, pipes, and waterpipes/hookahs.