Teen smoking collapse (1997-2024)
In 1997, 36.4% of US high school students smoked cigarettes. A generation of tobacco-tax increases, advertising bans, and school-based prevention programs cut the rate to below 5% by 2024.
Smoking fell steadily year over year through the 2000s and 2010s.
The decline showed that teen health behavior responds durably to sustained, coordinated federal and school policy.
Same mechanism as mental health now—what schools and federal policy invest in, teen health metrics reward.
