Overview

• In 2023, 7.4% of US adolescents vaped THC, 2.9% used CBD and 1.8% used synthetic cannabinoids, reflecting marked increases from 2021.
• The share of teens unsure about vaping synthetic cannabinoids tripled to 4.7%, highlighting widespread confusion over product contents.
• Female adolescents report higher rates of vaping THC, CBD and synthetic cannabinoids than their male peers.
• Young people with friends who vape are 15 times more likely to use e-cigarettes, and exposure to cannabis marketing on TikTok and YouTube further fuels experimentation.
• Disapproval of vaping by parents and other key adults cuts the likelihood of teen use by about 70%, while unregulated synthetic cannabinoids from illicit markets pose unpredictable and potentially deadly health risks.