Background: Mississippi has implemented several programs and policies to reduce youth tobacco. This study examines trends in youth tobacco use and compares current prevalence rates for cigarettes, cigars, smokeless tobacco, and e-cigarettes.
Design/methods: The Youth Tobacco Survey is a self-administered survey of a multi-stage sample of public high school students.
Results: Cigarette and cigar smoking decreased from 1998 to 2014. However, current use of smokeless tobacco did not change and e-cigarette use has increased. Currently, there are no significant differences in the prevalence of cigarette, cigar, smokeless tobacco, or electronic cigarette use.
Conclusion: The state has successfully decreased cigarette and cigar smoking. However, smokeless tobacco use has not changed and e-cigarettes are becoming increasingly popular. Currently, Mississippi youth are at equal risk for cigarette, cigar, smokeless tobacco, or electronic cigarette use. Tobacco prevention efforts, clinician counseling, and policies should address each of these products rather than focus primarily on cigarettes.