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Facts about youth tobacco product use According to 2022 data from the National Youth Tobacco Survey more than 11% of all students currently used a tobacco product, including 16.5% of high school students and 4.5% of middle school students Among high school students, tobacco product use was highest for e-cigarettes (14.1%), followed by cigars (2.8%) cigarettes (2.0%), smokeless tobacco (1.6%), hookah (1.5%), nicotine pouches (1.4%), heated tobacco products (1.1%), and pipe tobacco (0.7%)