Indiana is witnessing a significant milestone in youth public health: smoking and vaping among high school students have dropped to their lowest levels in decades. The latest data from the 2024 Indiana Youth Tobacco Survey (IYTS), conducted by the Indiana Department of Health (IDOH), shows a dramatic decline in tobacco use among teens. Notably, only 5% of high school students reported using e-cigarettes—marking the lowest rate since the state began tracking such data in 2012.
This downward trend has been applauded by health professionals and anti-tobacco advocates alike, who have long been concerned about nicotine’s impact on young people. Dr. Mitchell Pfeiffer, a pulmonologist at Ascension St. Vincent, highlighted the danger of early exposure to nicotine. He explained that once nicotine activates receptors in the developing adolescent brain, it creates a powerful addiction that can be incredibly difficult to overcome. “These receptors light up when exposed to nicotine, making quitting a real challenge,” Pfeiffer stated.

Remaining Challenges Despite Progress
While the IYTS data represents a significant step forward, experts caution against complacency. Flavored tobacco products continue to attract underage users, and a subset of youth remain frequent e-cigarette users. Additionally, new products such as oral nicotine pouches are gaining traction among teens, raising alarms among healthcare providers.
Dr. Pfeiffer urged federal regulators to strengthen their oversight of emerging nicotine delivery systems. “The FDA has the authority to restrict or even eliminate access to some of these products,” he said, emphasizing the need for more proactive regulation to prevent a resurgence in youth nicotine use.
Real-Life Impact of Nicotine Addiction
The survey findings also bring attention to the ongoing struggles of young adults dealing with addiction. Jesse Reed, now 21, shared that his vaping habit began in middle school. Years later, he still finds it hard to quit—both physically and financially. His story underscores how early exposure can lead to long-term dependence, affecting quality of life and health.
Support for Quitting in Indiana
In response, Indiana offers a range of free cessation services aimed at helping teens and young adults quit tobacco. The “Live Vape Free” initiative specifically targets youth, while “Quit Now Indiana” provides resources for individuals aged 13 and up. These programs offer counseling, support tools, and other aids to those who want to break free from nicotine.
As Indiana continues to make strides in curbing youth tobacco use, public health officials stress the importance of sustained vigilance, education, and policy reform to keep the momentum going and protect future generations.