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Results from the Annual National Youth Tobacco Survey 2022 Findings on Youth Tobacco Use Current Use 11.3% (3.08 million) of middle and high school students reported current use (past 30 days) of any tobacco product Approximately 3.7% (1.00 million) of all students reported currently smoking any combustible tobacco product 3.5% (960,000) reported current use of multiple (=2) tobacco products Most Commonly Used Types of Devices E-cigarettes (9.4%) Cigars (1.9%) Cigarettes (1.6%) Smokeless (1.3%) Hookahs (1.1%) Nicotine Pouches (1.1%) Heated Tobacco Products (1.0%) Pipe Tobacco (0.6%) Demographics and Social Determinants of Health Current Use (past 30 days) of Any Tobacco Product (middle and high school): 13.5% of non-Hispanic American Indian or Alaska Native (AI/AN) students 16.0% of those identifying as lesbian, gay or bisexual 16.6% of those identifying as transgender 18.3% of those reporting severe symptoms of psychological distress 12.5% of those with low family affluence 27.2% of those with low academic achievements (mostly Fs) Methodology The 2022 data was collected between January and May of 2022, using an online survey among U.S