Updated: September 2025

Author: Tobacco Program, Vermont Department of Health

This indicator, or population measure, is part of our Healthy Vermonters 2030 data set. Read more about how this data helps us understand and improve the well-being of people in Vermont on the Healthy Vermonters 2030 webpage.

Because this data is meant to show how the health of our state changes during the decade from 2020-2030, some indicators may have very few data points for now. Keep checking back to see the progress our public health system and partners are making.

The Vermont Department of health would like to see the percent of high school students using tobacco drop to 17% or lower through 2030 and beyond.

According to the 2023 Vermont Youth Risk Behavior Survey, 18% of students in grades 9 through 12 used cigarettes, electronic vapor products, cigars or smokeless tobacco in the past month. This is of particular concern due to the increased risk for lifelong nicotine addiction and adverse health consequences associated with use.

currently,e-vapor products are increasingly popular among youth, largely due to their wide array of flavors (including mint, candy, fruit, alcohol and menthol), attractive designs, ease of concealment, and accessibility through social connections. While e-vapor products are often promoted and often promotes as a safer alternative to traditional cigarettes, which may be the case for adults who fully transition from combustible products, the Surgeon General cautions youth, young adults, those who are pregnant, and non-tobacco users not to vape. Although e-vapor products do not produce tobacco smoke, they still contain highly addictive nicotine and other potentially harmful chemicals. Testing of some e-cigarette products found the vapor to contain known carcinogens and toxic chemicals (such as formaldehyde and acetaldehyde), as well as potentially toxic metal nanoparticals from from the vaporizing mechanism. The health consequences of repeated exposure to these chemicals are not yet clear (National Institute on Drug Abuse, 2016).

Looking for more data?

• Look at previous data on the percent of students in grades 9-12 who smoke cigarettes from our 2020 Scorecards (note, this is for cigarette use only).
• Look at previous data on the percent of students in grades 9-12 who use e-cigarettes from our 2020 Scorecards (note, this is for e-cigarette use only).
• See the related Healthy Vermonters 2030 indicator on middle school use of tobacco.
• See the corresponding national Healthy People 2030 objective for reducing tobacco use among all adolescents.

Reducing tobacco use among youth is a Healthy People 2030 Leading Health Indicator. It is a high priority objective to drive action toward improving overall health and well-being, longevity and healthy aging.

Nicotine is harmful to developing brains, which keeps developing until the age of 25. Nicotine use during adolescence can disrupt the formation of brain circuits that control attention, learning, and susceptibility to addiction. In addition, nicotine use has been associated with mental health symptoms such as depression and anxiety. Tobacco use early in life is also associated with increased risk for substance use and premature death. According to the American Heart Association, those who smoke, especially those who started young, are three times more likely to die prematurely.  

The Vermont Tobacco Program will continue to support, implement, and assess impact of evidence-based practices in reducing initiation and use of tobacco and nicotine products, in addition to secondhand smoke exposure. Youth engagement and empowerment, giving them an opportunity to learn about the tactics and targeting of youth by the tobacco industry, is important. Policy and mass reach media, in addition to tailored and culturally accessible cessation programs including clinicians' and pediatricians offering counseling and quit medications to youth, are all effective. Policies that protect people from the impacts of tobacco and nicotine play an important role in establishing greater health equity such as:

• restrict marketing and sponsorships that target LGBTQ+ and Black, Indigenous and Youth of Color
• reduce tobacco industry influence on youth through strategies that ban price promotions and establish content neutral advertising
• pass smoke-free and clean indoor air laws that protect youth from secondhand smoke and which help establish stronger social norms and perception of harm of tobacco products
• provide effective and culturally tailored, accessible cessation services.

Other strategies include sensitivity training of community and medical providers who can serve as trusted touch points for asking about and/or treating tobacco and nicotine use.

The Vermont Tobacco Program currently implements population level approaches aimed at reducing the toll of tobacco and nicotine use among youth. 

Community Grantees: Tobacco-funded grantees create yearly work plans with population level approaches aimed at reducing the toll of tobacco and nicotine use and the impact of product advertising and marketing on youth.

Youth Groups: Our Voices Xposed (OVX) is a youth tobacco and nicotine prevention initiative based on the Positive Youth Development framework. The goal of this initiative is to educate, engage and empower youth to create positive change in their schools and communities. With the guidance of adult advisors and community partners, OVX youth educate and inform their peers, community members, local and state decision makers on the facts about the adverse health effects of using nicotine products, the harmful impacts of product manufacturing and disposal on the environment, and cessation resources for those ready to quit. They also shine a light on the manipulative and deceptive marketing tactics tobacco and vape companies use to target youth.  This prevention and empowerment initiative is a collaborative effort with the Agency of Education.

Local Decision Makers: School boards, select boards, boards of trustees, town officers, and town planners have the authority to enact, incorporate or include best practices and implement policies.

Offices of Local Health: Provide health services and promote wellness for all Vermonters.

Residents: Tobacco and nicotine policy progress benefits from the participation of concerned residents who can help create the understanding, support and movement for protective policies. Often policy advancement is aided when there is a groundswell of support and demand from local residents. Community grantees educate residents and decision makers to create demand for change.

The Youth Risk Behavior Survey (YRBS) is a national survey funded by the Centers for Disease Control and Prevention and many Vermont partners. It is administered every other year (odd years) through the public school system. The YRBS is a major source of information about youth health related behaviors that may contribute to leading causes of death and disability as adults.

Due to the COVID-19 pandemic and a delayed administration period, caution should be used when interpreting and comparing the 2021 results to other years. There are a couple of significant differences from previous years:

• Survey data was collected during a period when schools and students were still significantly impacted by the ongoing challenges of the COVID-19 pandemic. This context has likely influenced the responses and behaviors captured in the survey.
• Survey was conducted in the fall of 2021, deviating from its usual timing in the spring. As a result, the age of the surveyed students is approximately six months younger than in previous years. This age difference can potentially impact the trends and comparisons drawn from the data. 

Students who participated in the 2021 YRBS may have had a different educational and social experience compared to previous participants. Disruptions, including remote learning, lack of social interactions and extracurricular activities, are likely reflected in the survey results.

Caution should be used when interpreting and comparing the 2021 results to other years. For more information on the delayed administration and how it may have impacted the 2021 results, please see "YRBS Special Considerations for 2021".