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Preventing tobacco product use among youth is critical to ending the tobacco epidemic in the united states. Tobacco product use is started and established primarily during adolescence. 1,2 nearly 9 out of 10 daily cigarette smokers first try cigarettes by age 18, and 99 first try smoking by age 26. About 1,600 youth under 18 years of age smoke their first cigarette and. Most importantly, this is when an addiction to smoking takes hold, often lasting into and sometimes throughout adulthood. Among adults who have ever smoked daily, 87 had tried their first cigarette by the time they were 18 years of age, and 95 had by age 21. 9 million middle and high school students were current tobacco users in 2018. 1 although tobacco use by adolescents has declined substantially in the last 40 years, in 2018, less than one in 25 high school seniors was a daily smoker. 2 substantial racialethnic and regional differences in smoking rates exist. Among high school students, white teens are more likely to smoke than. For most smoking-related cancers, the risk rises as the individual continues to smoke. (1) teenage smokers suffer from shortness of breath almost three times as often as teens who dont smoke, and produce phlegm more than twice as often as teens who dont smoke. The use of e-cigarettes is unsafe for kids, teens, and young adults. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s. 1 e-cigarettes can contain other harmful substances besides nicotine. Smoking-related cancers include lung, mouth, stomach, kidney, bladder, and cervix, among others. It is important to point out to your teen the potential harm associated with tobacco use. Though the long-term negative health outcomes of smoking are most important to discuss, many adolescents may be more concerned with the impact that smoking has on their lives today than they are with their health in the far. The good news cigarette smoking among american teens has been falling. The bad news teen use of other tobacco products is on the rise. Thats the finding of a second new study, due out in the march pediatrics. Youn ok lee works at rti international in research triangle park, n. Her team also mined data from the 2012 national youth tobacco.