The key findings include:

• In 2014, one in four high school students and one in 13 middle school students reported being tobacco users (using one or more tobacco products in the previous 30 days).
• Of the then-current 4.6 million youth tobacco users, 2.4 million reported using e-cigarettes.
• Between 2011 and 2014, the percentage of students reporting current use of cigarettes decreased from 15.8% to 9.2%.
• Between 2011 and 2014, hookah use among high school students doubled and e-cigarette use increased even more dramatically.
• In 2014, nearly 2.2 million students reported using two or more tobacco products.