types of tobacco consumption current use among youths aged 13 to 15 years in Changes in tobacco use in

The 2025 State of Tobacco Control report grades the federal government in five areas: Federal Regulation of Tobacco Products Grade C Federal Coverage of Quit Smoking Treatments Grade D Level of Federal Tobacco Taxes Grade F Federal Mass Media Campaigns to Prevent and Reduce Tobacco Use Grade A Federal Minimum Age of Sale for Tobacco Products to 21 Grade A State Grades Overview The 2025 State of Tobacco Control report grades states and the District of Columbia in five areas that have been proven to prevent and reduce tobacco use and save lives: Strength of Smokefree Workplace Laws 11 states and Washington, DC earned A grades Ending the Sale of All Flavored Tobacco Products 46 states earned F grades Funding for State Tobacco Prevention Programs 40 states and Washington, D.C., earned F grades Level of State Tobacco Taxes 31 states earned F grades Coverage and Access to Services to Quit Tobacco 20 states and Washington, D.C

10.1016/j.schres.2005.02.010 41

21 February 2018

First, even prior to widespread use of e-cigarettes, prevalence and initiation rates of cigarette smoking were falling in youth in the US, UK and Canada