Youth Substance Use Trends: Highest Rates in History

Aug.24.2022
Youth Substance Use Trends: Highest Rates in History
Marijuana and nicotine e-cigarette usage among young people hit historic highs in 2021, according to a report.

According to a report released by the National Institute on Drug Abuse in the United States, in 2021, the usage rates of cannabis and nicotine electronic cigarettes among young people reached an all-time high level.


Dr. Megan E. Patrick and her colleagues at the University of Michigan's Institute for Social Research in Ann Arbor studied drug use prevalence and trends among young people dating back to 1975 in a monitoring group study. Participants were initially sampled in 12th grade at the age of 18, and then surveyed annually until the age of 30.


Researchers have found that in 2021, the most commonly used substances among young people in the past 12 months were alcohol, marijuana, nicotine e-cigarettes, marijuana e-cigarettes, cigarettes, and other drugs (at 81.8%, 42.6%, 21.8%, 18.7%, and 18.3% respectively). The report showed a binge-drinking rate of 32.0% and a daily marijuana use rate of 10.8%. From 2020 to 2021, there was an increase in monthly marijuana e-cigarette use, a decrease in daily alcohol consumption but an increase in binge drinking, returning to the pre-pandemic levels of 2019. There was also an increase in monthly nicotine e-cigarette use, a decrease in non-medical use of narcotics other than heroin, and a decrease in non-medical use of some stimulants, including amphetamines, Adderall, cocaine, and methamphetamine.


In 2021, there was a high prevalence of cannabis, nicotine e-cigarettes, high-intensity alcohol, and hallucinogens other than LSD within a month, while smoking, excessive drinking, and the use of anesthetics other than heroin, Vicodin, and Oxycodone were at historically low levels.


Dr. Nora Volkow, Director of the National Institute on Drug Abuse, stated in a press release that "understanding how drug use affects young adults' future choices is crucial in helping the next generation avoid harm.


This article contains excerpts or reposts from third-party sources, and their copyright belongs to the original media and authors. If there is any infringement, please contact us for deletion. Any individuals or organizations who wish to repost must contact the author and refrain from reposting directly.


This document has been generated through artificial intelligence translation and is provided solely for the purposes of industry discourse and learning. Please note that the intellectual property rights of the content belong to the original media source or author. Owing to certain limitations in the translation process, there may be discrepancies between the translated text and the original content. We recommend referring to the original source for complete accuracy. In case of any inaccuracies, we invite you to reach out to us with corrections. If you believe any content has infringed upon your rights, please contact us immediately for its removal.

Philip Morris Japan adds “Electric Purple” to IQOS ILUMA i range, expands to convenience stores from Feb. 3
Philip Morris Japan adds “Electric Purple” to IQOS ILUMA i range, expands to convenience stores from Feb. 3
Philip Morris Japan (PMJ) said on Jan. 29 it has introduced “Electric Purple” as a new standard color option for its IQOS ILUMA i heated tobacco device lineup, covering three models with prices unchanged. The new color will be available from Jan. 29 via the company’s official online and store channels, with sales expanding to convenience stores and some tobacco retailers from Feb. 3.
Jan.29 by 2FIRSTS.ai
Alabama House Health Committee advances SB9 to restrict vaping in public spaces under Clean Indoor Air Act
Alabama House Health Committee advances SB9 to restrict vaping in public spaces under Clean Indoor Air Act
The Alabama House Health Committee passed Senate Bill 9 on Wednesday to restrict vaping in public areas under the state’s Clean Indoor Air Act. Introduced by Sen. Gerald Allen, SB9 would add vapes—defined as “electronic nicotine delivery systems”—to the forms of “smoking” currently prohibited in enclosed public places.
Feb.13 by 2FIRSTS.ai
South Dakota Senate Committee Advances Bill Tightening Nicotine Retail Rules
South Dakota Senate Committee Advances Bill Tightening Nicotine Retail Rules
South Dakota Senate Bill 221 (SB 221), which seeks to regulate the retail sale of nicotine products, has passed the Senate Health and Human Services Committee with a unanimous 7–0 recommendation. The bill was significantly amended, expanding from three to nine pages and shifting its focus from vapor products alone to all nicotine products.
Regulations
Feb.22
South Korea’s Seoul Gangnam District Installs “Separated Smoking Booths” , Splitting Cigarettes and Vapes
South Korea’s Seoul Gangnam District Installs “Separated Smoking Booths” , Splitting Cigarettes and Vapes
Seoul's Gangnam district introduces smoking booths on Tehran Road to combat public smoking and secondhand smoke issues.
Jan.23 by 2FIRSTS.ai
Casey’s, the No. 3 U.S. C-Store Chain, Sees Nicotine Category Shift as Pouches Rise 31% and Vapor 12%
Casey’s, the No. 3 U.S. C-Store Chain, Sees Nicotine Category Shift as Pouches Rise 31% and Vapor 12%
Casey’s General Stores (NASDAQ: CASY) reported accelerating growth in modern nicotine products during its fiscal third quarter ended January 31, 2026. Nicotine pouch sales increased 31% year over year, while vapor products rose 12%. Although cigarette unit sales continued to decline, management stated that the rate of decline slowed compared to prior quarters.
Market
Mar.15
2Firsts Interview | Prague Move Puts Eastern Europe in Focus for Nicotine Industry Event EVO NXT
2Firsts Interview | Prague Move Puts Eastern Europe in Focus for Nicotine Industry Event EVO NXT
EVO NXT will move to Prague in April 2026. As an event’s official media partner for four consecutive years, 2Firsts recently interviewed the organisers, who said the relocation reflects strong growth in Eastern European markets for alternative nicotine products. They described EVO NXT as not a traditional trade fair but a business festival shaped by rapid changes in regulation, markets and technological innovation across the global nicotine industry.
Feb.03