{
  "abstract": "The increase in electronic cigarette (e-cigarette) use among United States (US) middle and high school students raises public health concerns. Understanding cigarette and e-cigarette use patterns is crucial for targeted tobacco control policies. This study aimed to identify and characterize changes in trends of exclusive and dual use of cigarettes and e-cigarettes among US middle and high school students from 2017 to 2024, by grade and sex. We conducted a secondary analysis of the Monitoring the Future (MTF) survey, an annual, nationally representative cross-sectional survey of US students in Grades 8, 10, and 12 (2017-2024; N=227966). Students self-reported past 30-day cigarette and e-cigarette use via school-administered questionnaires. The survey's complex sampling design incorporated clustering, stratification, and weighting. We conducted joinpoint regression analyses by grade (8, 10, or 12) and sex (boys or girls). The prevalence of daily cigarette use in the past 30 days between 2017 and 2024 decreased with annual percent changes (APCs) of -23.3% among Grade 12 boys (95% confidence interval [CI]: -31.7 - -13.9) and -29.5% among girls (95% CI: -35.6 - -22.9). Exclusive cigarette use declined significantly among Grade 12 boys from 2017 to 2024 (APC= -23.0%; 95% CI: -32.8 - -11.6) and girls from 2017 to 2020 (APC= -49.3%; 95% CI: -63.6 - -29.5). E-cigarette use increased sharply until 2019-2020, particularly among girls, then declined significantly mainly among boys; girls' use remained above 2017 levels (e.g. regular use among Grade 12 girls: average annual percent change [AAPC]=19.7%; 95% CI: 9.6-30.7). From 2017 to 2024, any dual use fell, especially among Grade 10 boys (APC= -16.2%; 95% CI: -22.1 - -9.9) and girls (APC= -14.3%; 95% CI: -18.4 - -9.9). Cigarette and dual use of cigarettes and e-cigarettes among US middle and high school students declined significantly from 2017 to 2024, suggesting positive shifts in tobacco use behavior, but stable e-cigarette use highlights an ongoing challenge in nicotine control among youth.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Population Health SciencesBritish Columbia Cancer Research InstituteVancouverCanada.",
    "Department of EpidemiologyUniversity of MichiganAnn ArborUnited States.",
    "School of Population and Public Health, University of British ColumbiaVancouverCanada.",
    "Rutgers Cancer Institute, Rutgers UniversityNew BrunswickUnited States."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yixian Chen"
    },
    {
      "affs": [
        1
      ],
      "name": "Evelyn Jimenez-Mendoza"
    },
    {
      "affs": [
        1
      ],
      "name": "Jihyoun Jeon"
    },
    {
      "affs": [
        0,
        2,
        3
      ],
      "name": "Rafael Meza"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0rms353etyy5g.bib",
  "cited_by": 0,
  "doi": "10.18332/tid/231124",
  "fulltext_url": "https://europepmc.org/articles/PMC13740278",
  "id": "0rms353etyy5g",
  "issns": [
    "2070-7266",
    "1617-9625"
  ],
  "landing_url": "https://europepmc.org/article/MED/42996486",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Smoking Behavior and Cessation"
    ]
  ],
  "openalex": "W7224513292",
  "pdf_url": "https://europepmc.org/articles/PMC13740278?pdf=render",
  "pmcid": "PMC13740278",
  "pmid": "42996486",
  "published": "2026-10-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0rms353etyy5g.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42996486",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42996486"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Smoking Behavior and Cessation",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Trends in exclusive and dual cigarette and electronic cigarette use among United States middle and high school students from 2017 to 2024: A cross-sectional analysis.",
  "title_text": "Trends in exclusive and dual cigarette and electronic cigarette use among United States middle and high school students from 2017 to 2024: A cross-sectional analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/0rms353etyy5g",
  "venue": "Tobacco induced diseases",
  "versions": []
}