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Indicator Details — Children and Adolescents: Percentage of Adolescents Reporting Smoking Historya
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a  Current smoker, smoked at least 1 cigarette in past 30 days. As of 2013-2014, e-cgiarette use was inlcuded in current smoker definition; past smoker, smoked at least 1 whole cigarette in lifetime but smoked 0 cigarettes in past 30 days. Obese, >95th percentile of BMI for age, sex, and height (ages 12-17) or BMI > 30 kg/m² (ages 18-19). Due to change in age-limit from 12-19 years to 12-17 years, years 2011-2016 were combined to compensate for reduced sample sizes.

About 9% of U.S. adolescents (12-17 years old) reported a smoking history in 2013-2016, with 4% reporting current smoking. 

Reported smoking history was more common among males (11% vs. 8% in females) and non-Hispanic blacks were less likely to report smoking history (5%) than either non-Hispanic whites (11%) or Mexican-Americans (9%).
Chart Explanation: Among U.S. adolescents who were aged 12-19 years, 9.3% reported a smoking history in 2011-2016, with 3.8% being current smokers and 5.8% being past smokers (having tried at least one cigarette but not having smoked in the past 30 days, or ever use of e-cigarettes). Smoking substantially declined by about 75% form 38.0% in 1999-2000 to the recent 9.3% in 2011-2016, but this trend was not significant (p=0.07). Adolescents who reported current smoking had smoked an average of 10 of the 30 days prior to survey. Smoking did not differ by obesity among adolescents, but males were more likely to report a smoking history (10.6%) compared to females (7.9%), with the difference appearing most in past smokers (7.2% vs. 4.3%); and non-Hispanic blacks were less likely to report smoking history (4.9%) than either non-Hispanic whites (11.2%, respectively) or Mexican-Americans (9.3%, respectively).
The NHANES (National Health and Nutrition Examination Survey) is a nationally representative, cross-sectional survey that is currently conducted every 2 years by the Centers for Disease Control and Prevention's National Center for Health Statistics to examine disease prevalence and trends over time in noninstitutionalized U.S. civilian residents.

The survey consists of a standardized in-home interview and a physical examination at a mobile examination center (MEC). Here we examined data from the 1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012, 2013-2014, 2015-2016 NHANES surveys. Smoking history (cigarette use and e-cigarette use) was determined by audio computer-assisted self-interview at the MEC for those participants aged 12-19.
Analytic ConsiderationsAppropriate NHANES survey weights must be used for all analyses (MEC)
Description of MeasurePrevalence of smoking in the general population aged <18 years
Data SourceNCHS
Type of Data SourcePublic
Health Care System DataNo
Regional or National?National
Demographic GroupNoninstitutionalized U.S. residents aged 12-17
NumeratorParticipants 12-17 reporting smoking (past or current)
DenominatorParticipants 12-17 responding to smoking survey
Primary Data Source Indicatorsmq*, smd*: questions related to smoking (past, current, amount)
Primary Indicator Method of MeasurementSelf-report (audio computer-assisted self-interview in MEC) ages 12-17
Frequency of Measurement (Primary)Once (cross-sectional)
U.S. Region Covered by Primary VariableAll
Period Currently Available1999–2016
Pending Data2017-2018
Additional Data Items of InterestStratification variables of interest (gender, race/ethnicity, BMI)
Limitations of IndicatorSmoking may be over- or under-reported by past and current smokers
Analytic ConsiderationsAppropriate NHANES survey weights must be used for all analyses (MEC if MEC-examined variables used); if SE 30% or mroe of estimate, must report as "low precision."

Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd