LANSING, MI. (WOWO) Teen tobacco use in Michigan is rising again, driven largely by e-cigarettes, while state spending on prevention programs remains far below federal recommendations.
Rising teen tobacco use
Data from the Michigan Department of Health and Human Services shows tobacco use among high school students increased to 16.5% in 2023, up from 14% in 2021. E-cigarettes were the most commonly used product, with 11% of male students and 19% of female students reporting use. Cigarette and chewing tobacco use also rose slightly over the same period.
Health experts say the increase is concerning due to the long-term effects of nicotine exposure during adolescence. “When people are young and develop a habit of smoking or using e-cigarettes or using other nicotine products, it can very well lead to … dependence on nicotine,” said Dr. David Ledgerwood, clinical psychologist and Wayne State University professor.
Prevention funding falls short
Michigan currently spends roughly $7.5 million annually on youth tobacco prevention programs, a fraction of the $110.6 million recommended by the CDC. Nearly 90% of public school districts enforce comprehensive tobacco bans, including vaping products.
Governor Gretchen Whitmer has proposed increasing prevention funding by $8.9 million next year through a new tax on e-cigarettes and alternative nicotine products, bringing total spending to $16 million. Experts note, however, this would still represent less than 15% of the CDC’s recommended level.
Tobacco access and advertising
State law prohibits the sale of tobacco to anyone under 21, but Michigan does not require retailers to obtain a license to sell tobacco products. Compliance checks show roughly a quarter of retailers failed underage sales inspections last year. Teens also report frequent exposure to tobacco advertising at convenience stores, gas stations, online, and in movies.
“Marketing is a huge part of this conversation. We know that these products are marketed directly to our kids,” said Jodi L. Radke, regional director of the Campaign for Tobacco-Free Kids.
Proposed tax increases and obstacles
Whitmer’s budget proposal also includes a cigarette tax increase from $2 to $3 per pack to help fund Medicaid. Advocacy groups support a 57% wholesale tax on vapes and nicotine products to fund prevention programs, but state legislative leaders, including House Speaker Matt Hall, have opposed new taxes.
Forward-looking steps
State health officials and advocates say increased funding for prevention programs and stricter enforcement of existing regulations could help reverse the rising trend in youth tobacco use. Lawmakers will review budget proposals and tax measures in the coming months.
