title: Tobacco Use Trends among Mississippi Youth following the 1997 Settlement of Mississippi's Medicaid Lawsuit and Subsequent Tobacco Prevention Initiatives.
abstract: BACKGROUND
  Mississippi has implemented several programs and policies to reduce youth tobacco. This study examines trends in youth tobacco use and compares current prevalence rates for cigarettes, cigars, smokeless tobacco, and e-cigarettes.
  
  
  METHODS
  The Youth Tobacco Survey is a self-administered survey of a multi-stage sample of public high school students.
  
  
  RESULTS
  Cigarette and cigar smoking decreased from 1998 to 2014. However, current use of smokeless tobacco did not change and e-cigarette use has increased. Currently, there are no significant differences in the prevalence of cigarette, cigar, smokeless tobacco, or electronic cigarette use.
  
  
  CONCLUSIONS
  The state has successfully decreased cigarette and cigar smoking. However, smokeless tobacco use has not changed and e-cigarettes are becoming increasingly popular. Currently, Mississippi youth are at equal risk for cigarette, cigar, smokeless tobacco, or electronic cigarette use. Tobacco prevention efforts, clinician counseling, and policies should address each of these products rather than focus primarily on cigarettes.
authors: Emily
authors: E
authors: McClelland
authors: Nell
authors: N
authors: Valentine
authors: Robert
authors: R
authors: McMillen
mesh_terms: D000293:Adolescent; D066300:Electronic Nicotine Delivery Systems; D006306:Health Surveys; D006801:Humans; D008484:Medicaid / Q000331:legislation & jurisprudence*; D008922:Mississippi / Q000453:epidemiology; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology* / Q000331:legislation & jurisprudence*; D000074606:Smoking Prevention; D062789:Tobacco Products; D020340:Tobacco Use Cessation / Q000379:methods*; D014030:Tobacco, Smokeless; D014481:United States