Key points:
·Current situation: In West Virginia, 27.5% of teenagers are using e-cigarettes, a usage rate far exceeding the national average of 18.03%.
·Regional comparisons: The second to fifth ranked states and their data are as follows: Alaska (26.1%), Louisiana (25.5%), Montana (25.5%), and New Mexico (25.4%).
·Regulatory issues: Multiple locations in the state are facing accusations of illegally selling e-cigarette products to minors.
In a report on September 16, 2025, wboy.com states that according to a recent survey, teenagers in West Virginia, USA, use e-cigarettes more than in any other state.
A survey conducted by Legacy Healing Center revealed that 27.5% of teenagers in West Virginia currently report using e-cigarettes, a rate nearly 10% higher than the national average of 18.03%.
Despite a decrease in e-cigarette use nationwide, teenagers in West Virginia still report significantly higher rates of regular e-cigarette use compared to any other state. Following West Virginia, the states with the highest rates of e-cigarette use are Alaska (26.1%), Louisiana (25.5%), Montana (25.5%), and New Mexico (25.4%).
A survey revealed that the youth e-cigarette usage rate in all other states is below 25%. California and Washington have the lowest youth e-cigarette usage rates at 5.6% and 7.7% respectively. Utah also has a youth e-cigarette usage rate below 10%, at 9.7%.
The situation in the neighboring states is in a neutral position.
Pennsylvania - 19.2%
Maryland - 14.7%
Ohio - 20%
Virginia - 14.3%
Kentucky - 21.9%
In 2025, several e-cigarette stores in West Virginia were accused of selling e-cigarettes to minors, including stores in Randolph County, Upshur County, and Preston County.
We welcome news tips, article submissions, interview requests, or comments on this piece.
Please contact us at info@2firsts.com, or reach out to Alan Zhao, CEO of 2Firsts, on LinkedIn
Notice
1. This article is intended solely for professional research purposes related to industry, technology, and policy. Any references to brands or products are made purely for objective description and do not constitute any form of endorsement, recommendation, or promotion by 2Firsts.
2. The use of nicotine-containing products — including, but not limited to, cigarettes, e-cigarettes, nicotine pouchand heated tobacco products — carries significant health risks. Users are responsible for complying with all applicable laws and regulations in their respective jurisdictions.
3. This article is not intended to serve as the basis for any investment decisions or financial advice. 2Firsts assumes no direct or indirect liability for any inaccuracies or errors in the content.
4. Access to this article is strictly prohibited for individuals below the legal age in their jurisdiction.
Copyright
This article is either an original work created by 2Firsts or a reproduction from third-party sources with proper attribution. All copyrights and usage rights belong to 2Firsts or the original content provider. Unauthorized reproduction, distribution, or any other form of unauthorized use by any individual or organization is strictly prohibited. Violators will be held legally accountable.
For copyright-related inquiries, please contact: info@2firsts.com
AI Assistance Disclaimer
This article may have been enhanced using AI tools to improve translation and editorial efficiency. However, due to technical limitations, inaccuracies may occur. Readers are encouraged to refer to the cited sources for the most accurate information.
We welcome any corrections or feedback. Please contact us at: info@2firsts.com
