Tobacco has been the most typical first drug used by youth in the United States, and rates of its use generally have been much higher than rates of illicit substances among youth. While tobacco use remains a major public health problem, dramatic strides have been made in the past 10 years in reducing the prevalence of use, particularly among teenagers
All data are from the Monitoring the Future Study, an annual survey conducted by the University of Michigan, assessing a nationally representative sample of approximately 46 000 8th-, 10th-, and 12th-grade students. Rates of past month’s cigarette use in each year of the study were compared with past month’s illicit drug use for each grade level.
Lopez MF, Compton WM, Volkow ND. Changes in Cigarette and Illicit Drug Use Among US Teenagers. Arch Pediatr Adolesc Med. 2009;163(9):869-870. doi:10.1001/archpediatrics.2009.156