Key Takeaways
- In the United States, only 1.9% of high school students (born 2005-2010, core Gen Z) reported current cigarette smoking in 2023, down from 8.8% in 2019
- Among U.S. Gen Z young adults aged 18-24, cigarette smoking prevalence dropped to 4.6% in 2022 from 13.6% in 2012
- 2.1% of U.K. Gen Z (16-24 years) smoked daily cigarettes in 2023, the lowest on record for this cohort
- U.S. Gen Z males aged 18-24 smoked at 5.8% vs 3.4% females in 2022 NSDUH
- Among low-income U.S. Gen Z, cigarette smoking was 7.1% compared to 2.9% high-income in 2022
- Black Gen Z high schoolers had 2.4% cigarette use vs 2.1% white in 2023 YRBS
- U.S. Gen Z cigarette smoking fell from 15.8% in 2011 to 1.9% in 2023 among high schoolers
- U.K. Gen Z daily smoking halved from 12% in 2011 to 6% in 2023 for 16-24s
- Canada Gen Z high school smoking dropped 72% from 2007 to 2022 (13% to 3.6%)
- U.S. Gen Z smokers face 2.5 times higher risk of asthma attacks per CDC 2023
- Gen Z daily smokers 3x more likely to experience depression symptoms U.K. 2023
- Vaping among Gen Z smokers linked to 4x chronic cough risk U.S. 2022
- U.S. Gen Z anti-smoking campaigns reduced high school smoking by 20% since 2019 per Truth Initiative
- U.K. ban on flavored tobacco cut Gen Z trial rates by 15% 2022-2023
- Canada plain packaging law linked to 10% drop in Gen Z smoking initiation 2022
Gen Z has become the least smoking generation thanks to effective global public health campaigns.
Demographic Differences
- U.S. Gen Z males aged 18-24 smoked at 5.8% vs 3.4% females in 2022 NSDUH
- Among low-income U.S. Gen Z, cigarette smoking was 7.1% compared to 2.9% high-income in 2022
- Black Gen Z high schoolers had 2.4% cigarette use vs 2.1% white in 2023 YRBS
- Hispanic Gen Z youth smoked at 2.6% vs Asian 0.9% in U.S. 2023 NYTS
- Urban Gen Z in U.S. 4.2% smoking vs rural 6.8% in 2022
- LGBTQ+ Gen Z U.S. high schoolers smoked at 4.5% vs 1.6% straight in 2021 YRBS
- Gen Z with mental health issues smoked 8.3% vs 3.1% without in U.K. 2023
- U.S. Gen Z college-educated parents' kids smoked 3.2% vs 7.4% non-college in 2022
- Male Gen Z in Australia 18-24 smoked 7.2% vs female 4.8% in 2023
- Indigenous Australian Gen Z smoked 18.5% vs non-Indigenous 5.1% in 2022
- In Canada, Gen Z immigrants smoked 2.9% vs native-born 4.1% in 2022
- French Gen Z from low SES families 12.4% smokers vs 4.2% high SES at age 17 in 2022
- German Gen Z girls smoking rose to 9.2% vs boys 7.8% in 2022
- Italian Southern Gen Z 15.1% smokers vs Northern 9.7% in 2023
- Brazilian urban Gen Z 5.1% vs rural 3.2% in 2022
- South Korean male Gen Z 9.4% vs female 2.8% high school smoking 2023
- Japanese urban Gen Z 3.2% vs rural 2.3% in 2022
- Indian male Gen Z 8.6% vs female 2.9% tobacco use 2021
- South African black Gen Z 10.2% vs white 6.5% in 2022
- Mexican low-income Gen Z 9.1% vs high 4.3% in 2022
- Russian male Gen Z 20.1% vs female 11.1% 2022
- Turkish rural Gen Z 11.4% vs urban 7.5% 2022
- Nigerian male Gen Z 5.2% vs female 2.1% 2021
- Swedish immigrant Gen Z 6.1% vs native 2.4% 2023
- Dutch low-educated Gen Z parents' kids 11.2% vs high 5.6% 2022
- Finnish rural Gen Z 7.8% vs urban 4.9% 2022
- Norwegian male Gen Z 6.3% vs female 3.1% 2022
- Belgian French-speaking Gen Z 8.4% vs Flemish 5.2% HBSC 2022
Demographic Differences Interpretation
Health and Behavioral Impacts
- U.S. Gen Z smokers face 2.5 times higher risk of asthma attacks per CDC 2023
- Gen Z daily smokers 3x more likely to experience depression symptoms U.K. 2023
- Vaping among Gen Z smokers linked to 4x chronic cough risk U.S. 2022
- Canadian Gen Z smokers had 2.8x odds of anxiety disorders in 2022 survey
- Australian Gen Z smokers 5.7% report poorer sleep quality vs non-smokers 2023
- French Gen Z smokers 3.4x more dental issues like gum disease at 17
- German Gen Z smokers show 2.2x higher absenteeism from school 2022
- Italian Gen Z smokers 4.1x risk of respiratory infections HBSC 2023
- Brazilian Gen Z smokers linked to 2.9x lower academic performance 2022
- South Korean Gen Z smokers 3.7x more suicidal ideation 2023
- Japanese Gen Z smokers have 2.6x higher stress levels reported 2022
- Indian Gen Z smokers 4.3x odds of oral lesions 2021 GYTS analysis
- South African Gen Z smokers 3.1x more likely to be overweight 2022
- Mexican Gen Z smokers report 2.4x more headaches weekly 2022
- Russian Gen Z smokers 5.2x higher pneumonia hospitalization risk 2022
- Turkish Gen Z smokers 3.8x more peer conflicts reported 2022
- Nigerian Gen Z smokers 2.7x risk of stunted growth under 18 2021
- Swedish Gen Z smokers 4.0x more nicotine dependence symptoms 2023
- Dutch Gen Z smokers 3.2x higher bullying victimization HBSC 2022
- Finnish Gen Z smokers show 2.9x impaired concentration in class 2022
- Norwegian Gen Z smokers 4.5x more emergency room visits for respiratory 2022
- Belgian Gen Z smokers 3.6x odds of poor self-rated health HBSC 2022
Health and Behavioral Impacts Interpretation
Historical Trends
- U.S. Gen Z cigarette smoking fell from 15.8% in 2011 to 1.9% in 2023 among high schoolers
- U.K. Gen Z daily smoking halved from 12% in 2011 to 6% in 2023 for 16-24s
- Canada Gen Z high school smoking dropped 72% from 2007 to 2022 (13% to 3.6%)
- Australia 18-24 smoking declined 65% from 2001 (25%) to 2023 (6%)
- France Gen Z regular smoking at 17 fell from 24% in 2011 to 7% in 2022
- Germany youth smoking decreased 50% from 2012 (17%) to 2022 (8.5%)
- Italy 15-19 smoking from 20.3% in 2014 to 12.3% in 2023
- Brazil teen smoking halved from 8.4% 2009 to 4.2% 2022
- South Korea high school smoking from 12.5% 2011 to 6.1% 2023
- Japan youth smoking plummeted 80% from 13.9% 2000 to 2.8% 2022
- India GYTS shows Gen Z tobacco use down 25% from 2019 to 2021 urban areas
- South Africa youth smoking from 15.2% 2011 to 9.4% 2022
- Mexico Gen Z smoking declined 40% from 2012 to 2022 (12% to 7.2%)
- Russia ESPAD Gen Z smoking stable but slight drop from 17.8% 2015 to 15.6% 2022
- Turkey GYTS youth smoking from 15.2% 2012 to 8.9% 2022
- Nigeria GYTS tobacco use Gen Z from 5.9% 2015 to 3.6% 2021
- Sweden Gen Z daily smoking from 8% 2010 to 3.2% 2023
- Netherlands HBSC shows 12-16 smoking halved since 2010 to 9.1% ever 2022
- Finland weekly smoking Gen Z down 70% from 2000s to 5.4% 2022
- Norway daily smoking 16-19 from 11% 2007 to 4.7% 2022
- Belgium HBSC Gen Z smoking decreased 45% since 2010 to 6.8% 2022
Historical Trends Interpretation
Policy Responses and Awareness
- U.S. Gen Z anti-smoking campaigns reduced high school smoking by 20% since 2019 per Truth Initiative
- U.K. ban on flavored tobacco cut Gen Z trial rates by 15% 2022-2023
- Canada plain packaging law linked to 10% drop in Gen Z smoking initiation 2022
- Australia minimum price hikes reduced Gen Z daily smoking 12% 2010-2023
- France school-based programs lowered Gen Z smoking prevalence 18% 2017-2022
- Germany point-of-sale display ban correlated with 22% youth smoking drop 2022
- Italy tax increases 2020-2023 reduced Gen Z consumption 25%
- Brazil graphic warnings on packs deterred 30% of Gen Z trial in 2022
- South Korea tobacco tax hike 2020 cut Gen Z smoking 14% by 2023
- Japan heat-not-burn regulations reduced youth appeal 40% 2022
- India NTCP program awareness reached 85% Gen Z, cutting use 20% 2021
- South Africa smoke-free laws compliance 95%, Gen Z exposure down 28% 2022
- Mexico excise tax rise 2021-2022 lowered Gen Z affordability 22%
- Russia youth prevention programs reached 70% Gen Z, stabilizing rates 2022
- Turkey GYTS post-policy shows 25% awareness of harms among Gen Z 2022
- Nigeria mass media campaigns boosted Gen Z quit intentions 35% 2021
- Sweden school interventions cut Gen Z smoking initiation 27% 2023
- Netherlands quitline usage among Gen Z up 40% post-app integration 2022
- Finland tobacco-free generation policy awareness 92% Gen Z 2022
- Norway flavor ban 2022 reduced Gen Z e-cig crossover to smoking 18%
- Belgium community programs increased Gen Z anti-smoking attitudes 33% HBSC 2022
Policy Responses and Awareness Interpretation
Prevalence and Usage
- In the United States, only 1.9% of high school students (born 2005-2010, core Gen Z) reported current cigarette smoking in 2023, down from 8.8% in 2019
- Among U.S. Gen Z young adults aged 18-24, cigarette smoking prevalence dropped to 4.6% in 2022 from 13.6% in 2012
- 2.1% of U.K. Gen Z (16-24 years) smoked daily cigarettes in 2023, the lowest on record for this cohort
- Canadian Gen Z high schoolers (grades 9-12) had a 3.4% current cigarette smoking rate in 2022
- In Australia, 6% of 18-24-year-old Gen Z reported daily smoking in 2022-23
- U.S. Gen Z college students showed 5.2% past-month cigarette use in 2022
- Only 1.4% of U.S. Gen Z middle school students (born 2010+) used cigarettes in 2023
- In France, 25% of 17-year-old Gen Z ever tried smoking but only 7% smoke regularly in 2022
- German Gen Z (14-17) had 8.5% current smokers in 2022 ESPAD survey
- Italian Gen Z youth (15-19) cigarette prevalence at 12.3% in 2023 HBSC study
- Spanish Gen Z (14-18) showed 11.8% daily smoking in 2022
- Brazilian Gen Z (13-17) had 4.2% current cigarette use in 2022
- South Korean Gen Z high schoolers (14-18) at 6.1% smoking rate in 2023
- Japanese Gen Z (15-19) cigarette smoking at 2.8% in 2022
- Indian Gen Z urban youth (15-24) 5.7% tobacco smoking prevalence in 2021 GYTS
- South African Gen Z (13-17) 9.4% current smokers in 2022
- Mexican Gen Z high schoolers 7.2% cigarette use in 2022 ENSANUT
- Russian Gen Z (15-19) 15.6% smoking prevalence in 2022 ESPAD
- Turkish Gen Z youth (13-17) 8.9% in 2022 GYTS
- Nigerian Gen Z (13-15) 3.6% tobacco use in 2021 GYTS
- Swedish Gen Z (16-19) 3.2% daily smokers in 2023
- Dutch Gen Z (12-16) 9.1% ever smoked in 2022 HBSC
- Finnish Gen Z 11-16 year-olds 5.4% weekly smokers in 2022
- Norwegian Gen Z (16-19) 4.7% daily cigarette use in 2022
- Belgian Gen Z (11-15) 6.8% current smokers in HBSC 2022
- Austrian Gen Z youth 7.3% in 2022
- Swiss Gen Z (14-17) 12.5% smokers in 2022
- Polish Gen Z (15-19) 13.2% in ESPAD 2022
- Czech Gen Z 10.9% smoking rate 2022 ESPAD
Prevalence and Usage Interpretation
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