Tobacco product use among US youth is increasing. More than 1 in 4 high schools students and about 1 in 14 middle school students in 2018 had used a tobacco product in the past 30 days. This was a considerable increase from 2017, which was driven by an increase in e-cigarette use. E-cigarettes are the most commonly used tobacco product ahead of cigarettes, cigars, smokeless tobacco, hookah and pipes. E-cigarette use is highest for boys, whites, and high school students.