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California Ranks Lowest for Youth Vaping in the U.S.

Vaping News
youth vaping smoking link review study

California has achieved the lowest rate of youth vaping among all U.S. states, according to a new study by the American Lung Association. The research, which analyzed data collected between 2019 and 2023, also shows California with the lowest percentage of high schoolers who smoke traditional cigarettes or use tobacco products in general.

The study found that only 5.6% of high school students in California use e-cigarettes, and just 1.2% smoke cigarettes. The overall youth tobacco use rate, which includes cigarettes, smokeless tobacco, cigars, and e-cigarettes, was 6.6%. These figures stand in stark contrast to states with the highest rates, such as West Virginia, where 27.5% of high school students reported using e-cigarettes – nearly five times California’s rate. States like Alaska, Montana, Louisiana, and New Mexico also reported that more than one in four high school students use e-cigarettes.

California also demonstrated low rates of adult nicotine use. While Maryland had the lowest adult smoking rate, California ranked third lowest at 9.7%. For adult e-cigarette use, California was below 10%, while Oklahoma had the highest rate at 10.9%. The American Lung Association, founded 120 years ago, has expanded its focus from tuberculosis to modern respiratory threats like vaping and smoking.

Youth Cigarette Smoking and Tobacco Use by State
StateHigh School SmokingHigh School E-Cigarette UseHigh School Tobacco Use
 RateSourceRateSourceRateSource
Alabama5.7%Youth Risk Behavior Surveillance System, 202117.5%Youth Risk Behavior Surveillance System, 202118.6%Youth Risk Behavior Surveillance System, 2021
Alaska8.4%Youth Risk Behavior Surveillance System, 201926.1%Youth Risk Behavior Surveillance System, 201933.7%Youth Risk Behavior Surveillance System, 2019
Arizona3.4%Youth Risk Behavior Surveillance System, 202117.2%Youth Risk Behavior Surveillance System, 202117.4%Youth Risk Behavior Surveillance System, 2021
Arkansas4.9%Youth Risk Behavior Surveillance System, 202119.6%Youth Risk Behavior Surveillance System, 202120.0%Youth Risk Behavior Surveillance System, 2021
California1.2%California Student Tobacco Survey, 20225.6%California Student Tobacco Survey, 20226.6%California Student Tobacco Survey, 2022
Colorado4.5%Youth Risk Behavior Surveillance System, 202118.5%Youth Risk Behavior Surveillance System, 202118.9%Youth Risk Behavior Surveillance System, 2021
Connecticut1.3%Youth Risk Behavior Surveillance System, 202110.6%Youth Risk Behavior Surveillance System, 202110.6%Youth Risk Behavior Surveillance System, 2021
Delaware2.7%Youth Risk Behavior Surveillance System, 202117.9%Youth Risk Behavior Surveillance System, 202118.3%Youth Risk Behavior Surveillance System, 2021
District of Columbia3.2%Youth Risk Behavior Surveillance System, 202110.1%Youth Risk Behavior Surveillance System, 202111.6%Youth Risk Behavior Surveillance System, 2021
Florida1.7%Florida Youth Tobacco Survey, 202218.5%Florida Youth Tobacco Survey, 202218.3%Florida Youth Tobacco Survey, 2022
Georgia3.3%Youth Risk Behavior Surveillance System, 202118.2%Youth Risk Behavior Surveillance System, 202118.8%Youth Risk Behavior Surveillance System, 2021
Hawaii3.0%Youth Risk Behavior Surveillance System, 202114.8%Youth Risk Behavior Surveillance System, 20210.0%,
Idaho3.8%Youth Risk Behavior Surveillance System, 202117.9%Youth Risk Behavior Surveillance System, 202118.5%Youth Risk Behavior Surveillance System, 2021
Illinois2.5%Youth Risk Behavior Surveillance System, 202116.7%Youth Risk Behavior Surveillance System, 202117.1%Youth Risk Behavior Surveillance System, 2021
Indiana4.2%Youth Risk Behavior Surveillance System, 202119.1%Youth Risk Behavior Surveillance System, 20210.0%,
Iowa4.1%Youth Risk Behavior Surveillance System, 202116.4%Youth Risk Behavior Surveillance System, 202116.2%Youth Risk Behavior Surveillance System, 2021
Kansas4.6%Youth Risk Behavior Surveillance System, 202114.4%Youth Risk Behavior Surveillance System, 202114.9%Youth Risk Behavior Surveillance System, 2021
Kentucky4.9%Youth Risk Behavior Surveillance System, 202121.9%Youth Risk Behavior Surveillance System, 202122.5%Youth Risk Behavior Surveillance System, 2021
Louisiana7.0%Youth Risk Behavior Surveillance System, 202125.5%Youth Risk Behavior Surveillance System, 202125.5%Youth Risk Behavior Surveillance System, 2021
Maine4.3%Youth Risk Behavior Surveillance System, 202117.5%Youth Risk Behavior Surveillance System, 202118.1%Youth Risk Behavior Surveillance System, 2021
Maryland3.6%Youth Risk Behavior Surveillance System, 202114.7%Youth Risk Behavior Surveillance System, 202115.6%Youth Risk Behavior Surveillance System, 2021
Massachusetts3.5%Youth Risk Behavior Surveillance System, 202117.2%Youth Risk Behavior Surveillance System, 20210.0%,
Michigan1.7%Youth Risk Behavior Surveillance System, 202114.0%Youth Risk Behavior Surveillance System, 202114.1%Youth Risk Behavior Surveillance System, 2021
Minnesota3.6%Minnesota Youth Tobacco Survey (11th grade only), 202213.9%Minnesota Youth Tobacco Survey (11th grade only), 20226.6%Minnesota Youth Tobacco Survey (11th grade only), 2022
Mississippi5.9%Youth Risk Behavior Surveillance System, 202120.9%Youth Risk Behavior Surveillance System, 202121.6%Youth Risk Behavior Surveillance System, 2021
Missouri5.1%Youth Risk Behavior Surveillance System, 202119.3%Youth Risk Behavior Surveillance System, 202121.3%Youth Risk Behavior Surveillance System, 2021
Montana7.0%Youth Risk Behavior Surveillance System, 202125.5%Youth Risk Behavior Surveillance System, 202127.0%Youth Risk Behavior Surveillance System, 2021
Nebraska3.6%Youth Risk Behavior Surveillance System, 202114.7%Youth Risk Behavior Surveillance System, 202114.9%Youth Risk Behavior Surveillance System, 2021
Nevada4.8%Youth Risk Behavior Surveillance System, 202118.8%Youth Risk Behavior Surveillance System, 20210.0%,
New Hampshire5.5%Youth Risk Behavior Surveillance System, 201916.2%Youth Risk Behavior Surveillance System, 20210.0%,
New Jersey3.7%Youth Risk Behavior Surveillance System, 202121.6%Youth Risk Behavior Surveillance System, 20210.0%,
New Mexico3.7%Youth Risk Behavior Surveillance System, 202125.4%Youth Risk Behavior Surveillance System, 202125.6%Youth Risk Behavior Surveillance System, 2021
New York5.0%Youth Risk Behavior Surveillance System, 202115.7%Youth Risk Behavior Surveillance System, 202116.9%Youth Risk Behavior Surveillance System, 2021
North Carolina3.9%Youth Risk Behavior Surveillance System, 202123.8%Youth Risk Behavior Surveillance System, 20210.0%,
North Dakota5.9%Youth Risk Behavior Surveillance System, 202121.2%Youth Risk Behavior Surveillance System, 202123.0%Youth Risk Behavior Surveillance System, 2021
Ohio3.3%Youth Risk Behavior Surveillance System, 202120.0%Youth Risk Behavior Surveillance System, 202120.4%Youth Risk Behavior Surveillance System, 2021
Oklahoma4.0%Youth Risk Behavior Surveillance System, 202121.7%Youth Risk Behavior Surveillance System, 202122.1%Youth Risk Behavior Surveillance System, 2021
Oregon4.9%Oregon Healthy Teens Survey (11th grade only), 201921.4%Oregon Healthy Teens Survey (11th grade only), 201923.1%Oregon Healthy Teens Survey (11th grade only), 2019
Pennsylvania4.2%Youth Risk Behavior Surveillance System, 202119.2%Youth Risk Behavior Surveillance System, 202119.7%Youth Risk Behavior Surveillance System, 2021
Rhode Island3.0%Youth Risk Behavior Surveillance System, 202117.8%Youth Risk Behavior Surveillance System, 202117.5%Youth Risk Behavior Surveillance System, 2021
South Carolina3.3%Youth Risk Behavior Surveillance System, 202116.7%Youth Risk Behavior Surveillance System, 20210.0%,
South Dakota5.5%Youth Risk Behavior Surveillance System, 202115.8%Youth Risk Behavior Surveillance System, 202116.5%Youth Risk Behavior Surveillance System, 2021
Tennessee4.9%Youth Risk Behavior Surveillance System, 202119.0%Youth Risk Behavior Surveillance System, 202120.7%Youth Risk Behavior Surveillance System, 2021
Texas3.7%Youth Risk Behavior Surveillance System, 202118.7%Youth Risk Behavior Surveillance System, 202118.8%Youth Risk Behavior Surveillance System, 2021
Utah1.9%Youth Risk Behavior Surveillance System, 20219.7%Youth Risk Behavior Surveillance System, 20219.5%Youth Risk Behavior Surveillance System, 2021
Vermont5.4%Youth Risk Behavior Surveillance System, 202116.1%Youth Risk Behavior Surveillance System, 202116.2%Youth Risk Behavior Surveillance System, 2021
Virginia2.8%Youth Risk Behavior Surveillance System, 202114.3%Youth Risk Behavior Surveillance System, 202115.5%Youth Risk Behavior Surveillance System, 2021
Washington2.2%Washington State Healthy Youth Survey (10th grade only), 20237.7%Washington State Healthy Youth Survey (10th grade only), 20230.0%,
West Virginia7.6%Youth Risk Behavior Surveillance System, 202127.5%Youth Risk Behavior Surveillance System, 202127.0%Youth Risk Behavior Surveillance System, 2021
Wisconsin4.5%Youth Risk Behavior Surveillance System, 202114.7%Youth Risk Behavior Surveillance System, 202115.9%Youth Risk Behavior Surveillance System, 2021
Wyoming4.0%Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 202224.2%Wyoming Prevention Needs Assessment Survey (10th and 12th grade only), 20220.0%,
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With over a decade of experience in the e-cigarette industry, Matthew Ma is a seasoned expert in both the manufacturing and usage aspects of vaping products. His extensive background has provided him with a deep understanding of the intricacies and evolving dynamics of e-cigarettes.
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Tags: California, Vaping Rates, Youth Vaping
https://ecigator.com/wp-content/uploads/2025/02/1739463931-youth-vaping-smoking-link-review-study.jpg 675 1200 Matthew Ma https://ecigator.com/wp-content/uploads/2023/04/ecigator-logo-white.png Matthew Ma2025-07-25 08:43:582025-07-25 08:48:15California Ranks Lowest for Youth Vaping in the U.S.

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