Story highlights The number of high school and middle school students using e-cigarettes was about 10 times higher in 2015 than 2011

Decreased use of cigarette and other tobacco products among adolescents is offset by a rise in e-cigarettes and hookah

(CNN) There is good news and bad news in the latest report by the Centers for Disease Control and Prevention on tobacco use in middle and high school students: Although adolescents have been smoking fewer cigarettes and cigars in recent years, their use of e-cigarettes and hookahs is on the rise.

The report used data from the National Youth Tobacco Survey that were collected from about 20,000 middle and high school students across the country every year from 2011 to 2015. The 2011 survey was the first year since the survey began that asked about e-cigarettes, which entered the market in the United States in 2007.

The number of high school students who said they used an e-cigarette at least once in the last month increased from 1.5% in 2011 to 16% in 2015, and the number of middle school students rose from 0.6% in 2011 to 5.3% in 2015. The use of hookahs also climbed from 4.1% to 7.2% among high school students and 1% to 2% among middle school students between 2011 and 2015.

During this period, the use of all other tobacco products, including cigarettes, cigars and pipes, decreased. The number of high school and middle school students who reported smoking a cigarette in the last month dropped from 15.8% to 9.3% and from 4.3% to 2.3%, respectively.

However, the rise in e-cigarette and hookah use was enough to make up for these decreases, and the total number of adolescents using a tobacco or nicotine product was unchanged between 2011 and 2015. In 2015, 25.3% of high school and 7.4% middle school students said they used tobacco at least once in the last 30 days.

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