NORTH CAROLINA YOUTH TOBACCO SURVEY (NC YTS) MIDDLE & HIGH SCHOOL FACT SHEET The North Carolina Youth Tobacco Survey (NC YTS) is a public school-based survey of students in grades 6-12 that measures youth tobacco use behaviors every two years since 1999. The Healthy North Carolina 2020 objective is to decrease the percentage of high school students reporting current use of any tobacco product to 15%. NC MIDDLE & HIGH SCHOOL CURRENT USERS OF ANY TOBACCO PRODUCT, NC YTS, 1999-2017 CURRENT E-CIGARETTE USE Healthy North Carolina 2020 Objective 38.3 35.8 33.7 30 20 28.5 18.4 17.4 29.7 26.6 25.8 14.3 10.5 10 9.1 10.5 9.9 8.6 28.8 27.5 25.8 11.6 10.7 Percentage of Students Percentage of Students 40 23.3 20 10 0 ‘99 ‘01 ‘03 ‘05 ‘07 ‘09 Middle School ‘11 ‘13 ‘15 ‘17 High School 7.7 1 1.7 0 16.9 16.8 ‘11 7 8.7 5.3 1.5 ‘13 ‘15 Middle School ‘17 2017 Considering Use Next Year High School CURRENT E-CIGARETTE USE INCREASE 2011-2017 NC MS & HS CURRENT USE OF CIGARETTES & EMERGING TOBACCO PRODUCTS, NC YTS, 1999-2017 Addition of emerging products variable started in 2011 Percentage of Students 40 REASONS FOR E-CIGARETTE USE 2017* 30 24.5 20 10 0 Friend or family used them 8.9 7.8 2.5 ‘99 ‘01 ‘03 ‘05 ‘07 ‘09 ‘11 ‘13 ‘15 ‘17 MS Cigarette Smoking HS Cigarette Smoking MS Emerging Tobacco Product Use HS Emerging Tobacco Product Use Available in flavors *Among students who have used *Current use is defined as using tobacco products on one or more of the past 30 days Beginning in 2011, NC YTS included a survey item to assess the use of emerging tobacco products. No data is available prior to 2011 on emerging tobacco products. Emerging tobacco products can include: electronic cigarettes, clove cigars, dissolvable tobacco products, flavored cigarettes, little cigars or cigarillos, hookah or water pipes, roll-your-own cigarettes, and snus. Any tobacco product includes all emerging products plus cigarettes, cigars, chewing tobacco/snuff/dip, pipe tobacco, and bidis. For 2017 NC YTS, 6,333 students responded to the survey (3,200 middle school and 3,133 high school students). The statewide overall response rate was 65.4% for middle schools and 64.5% for high schools. CURRENT USERS OF TOBACCO PRODUCTS 1 in 10 EXPOSURE TO SECONDHAND SMOKE OR VAPOR* Tobacco smoke in home 3 in 10 E-cigarettes Tobacco smoke in indoor/ outdoor public place Cigars / Cigarillos / Little Cigars Cigarettes Chewing Tobacco / Snuff / Dip Vapor in home Hookah Roll-your-own Cigarettes Vapor in indoor/outdoor public place Snus USES TWO OR MORE TOBACCO PRODUCTS *Past 7 days SMOKING ALWAYS ALLOWED: In home CESSATION BEHAVIOR AMONG USERS Want to stop using tobacco Attempted to quit in past year In vehicle 46.8% 37.8% 73.7% 58.2% North Carolina 2017 enrollment figures were used to generalize NC YTS findings to all middle and high school students in the state. For more information, please contact the North Carolina Tobacco Prevention and Control Branch at (919) 707-5400. www.tobaccopreventionandcontrol.ncdhhs.gov State of North Carolina • Department of Health and Human Services • Division of Public Health • www.ncdhhs.gov • www.publichealth.nc.gov