
According to a report by the Daily Mail on August 4th, researchers in the United States conducted a thorough analysis of data provided by the organization "Campaign for Tobacco-Free Kids." Based on a survey conducted in 2023, Wyoming has the highest rate of e-cigarette use among youth in the United States, with nearly one-third of adolescents in the state reporting e-cigarette use in the past year, despite the state's ban on selling e-cigarettes to those under 21. Following Wyoming are West Virginia and Alaska.

A report indicates that the e-cigarette usage rate in California is the lowest at 6%. This is primarily due to the strict regulations implemented by Governor Gavin Newsom, who recently banned the sale of flavored e-cigarettes to individuals of all age groups. According to California law, the legal age to purchase e-cigarettes is 21.
According to the latest data from the Journal of the American Medical Association (JAMA), there are over 2 million adolescent smokers under the age of 18 who regularly use e-cigarettes, while the number of adult smokers reaches 17 million.
Researchers say:
Teen e-cigarette usage in Wyoming is the highest in the nation, reaching 30%. The state has implemented several laws aimed at reducing e-cigarette use, such as prohibiting the sale or distribution of e-cigarette products to those under 21, and requiring child-resistant packaging for e-cigarettes. However, the smoking rate remains the highest in the country.
In addition to these laws, child care facilities in the state also prohibit the use of e-cigarettes, and individuals purchasing tobacco products are required to pay a 15% tax. However, the majority of the state is rural with a smaller population, which may contribute to the high rates of e-cigarette use among adolescents. Approximately 80% of Wyoming residents live in rural areas, with much of the land used for agriculture and national parks. This also makes enforcing e-cigarette regulations more challenging, as rural areas often have limited access to resources about the dangers of e-cigarettes.
In West Virginia, the youth e-cigarette usage rate is 27.5%, ranking second highest in the country. In 2022, the state had the highest adult smoking rate in the U.S. at 25%. E-cigarettes are often promoted as a healthier alternative to smoking and used as a tool for quitting, which may contribute to the high e-cigarette usage rate in the state.
In Alaska, 26% of teenagers use e-cigarettes, ranking third in the country. Last year, Alaska Senate President Gary Stevens proposed a bill to impose a tax on e-cigarette products for the first time in the state. In 2022, he also proposed raising the minimum age to purchase tobacco products and e-cigarettes from 19 to 21, but this was vetoed by Governor Mike Dunleavy. Like Wyoming, the vast rural areas of Alaska also make it difficult to regulate teenage e-cigarette use.
In terms of adult e-cigarette usage rates, a recent study by JAMA found that Oklahoma ranks first.
It has been reported that the U.S. Food and Drug Administration (FDA) has prohibited the sale of unapproved flavored nicotine products, including ordering the withdrawal of all Juul brand products in June of this year. However, in July, the FDA has temporarily delayed this decision for further review. Other brands such as Puff Bar have also received warnings about selling flavored e-cigarette devices.
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