Survey (NYTS) estimated current pipe tobacco use at 0.5% among middle and high school students.

CDC analysis of U.S. NHIS data reported that among adults aged 18-24 years, exclusive pipe smoking declined from 1.0% in 2017 to 0.1% in 2023 (while exclusive e-cigarette use increased over the same period).

History

Some cultures of the indigenous peoples of the Americas smoke tobacco in ceremonial pipes, and have done so since

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