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Health Indicator Report of Tobacco - current e-cigarette smoking, middle school

Electronic cigarettes, or e-cigarettes, are battery-powered devices the give the user doses of nicotine and other additives in aerosol form. Nicotine is highly addictive and can harm adolescent brain development. E-cigarettes are currently unregulated by the Food and Drug Administration and have, therefore, never undergone testing for negative short- and long-term effects. Additionally, the substance that is vaporized is not regulated and may contain harmful constituents or dangerous concentrations of certain components. Use of e-cigarettes among US middle and high school students has risen substantially in the past few years. It's important to keep new tobacco products out of the hands of minors, especially those lacking valid information about short- and long-term consequences of use.


The percentages reported above have been produced by weighting the sample so that the results better represent the Hawaii population. Numerator and denominator data have been rounded to the nearest 100. In cases where the numerator is 49 or less, it is displayed as 50. Statistical Stability -- Relative standard error, or RSE, is the standard error expressed as a proportion of the point estimate. Stable is displayed when the RSE is below 0.30. Unstable is displayed when the RSE is 0.30-0.50. An unstable count or rate may fluctuate widely across time periods due to random variation (chance). Very unstable is displayed when the RSE is greater than 0.50. A very unstable count or rate should not be used to inform decision making. Problems with statistical instability typically occur when there is a small number of health events in a small population. You may combine years or otherwise increase the population size used in the query to achieve a more stable count or rate. Suppression of Estimates -- According to CDC YRBS guidelines, a minimum of 100 respondents must answer the question in order for it to be reported. Where the number of respondents is below 100, ** will appear in the table.

Data Source

Hawaii Youth Risk Behavior Survey, Hawaii State Department of Education and Hawaii State Department of Health. Citation: State of Hawaii, Hawaii Health Data Warehouse, Hawaii School Health Survey: Youth Risk Behavior Survey Module. "[Chart Title, years]." Hawaii-IBIS [URL]. Published on [insert date]. Accessed on [insert date].

Data Interpretation Issues

The Youth Risk Behavior survey uses a two-stage, stratified random sampling method to identify the sample. The sampling frame includes all students currently enrolled in grades 6-12 in a public school in the state of Hawaii. Two samples are taken: one for middle school (grades 6-8) and one for high school (grades 9-12). Results are weighted by sex, grade, and race/ethnicity to ensure accurate representation of the population.


Percent of middle school students who reported using an electronic cigarette or e-cigarette on one or more of the past 30 days.


Number of middle school students who reported using an electronic vapor products (e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens such as blu, NJOY, or Starbuzz) on one or more of the past 30 days.


Number of students for whom electronic vapor product use can be calculated (excludes missing, don't know, and refused answers).
Page Content Updated On 01/20/2019, Published on 09/14/2020
The information provided above is from the Hawaii Health Data Warehouse and the Hawaii State Department of Health's Hawaii-IBIS web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 22 October 2021 15:15:31 from Hawaii State Department of Health, Hawaii Health Data Warehouse, Indicator-Based Information System for Public Health Web site: ".

Content updated: Mon, 8 Feb 2021 09:37:11 HST