COLUMBUS, Ohio - Reducing youth tobacco use in Ohio is becoming increasingly difficult, as kids and teens are branching out to such alternative products as electronic cigarettes.

A new report from the American Lung Association in Ohio has found reduced teen smoking rates are being quickly offset as e-cigarettes, hookah, and little cigars increase in popularity.

Shelly Kiser, ALA-Ohio's director of advocacy, says these items are much more enticing to young people than traditional cigarettes.

"They're cheaper, kids think they're safer; they're kind of novel, they're interesting to use," Kiser explains. "And also, they've been marketed in a way that's very appealing, and they come in a variety of kid-friendly flavors. So, all of these make them very popular for kids."

According to the Centers for Disease Control and Prevention, e-cigarette use tripled among U.S. high school students between 2013 and 2014. Just over 13 percent use e-cigarettes, while 9.2 percent smoke regular cigarettes.

Ohio's two-year budget proposal included increased taxes on cigarettes and other tobacco products, but the tax on other tobacco products was removed in the final version.

Kiser says comprehensive tobacco prevention strategies for youth must address all tobacco products, not just cigarettes. She thinks lawmakers missed an opportunity.

"Children are really, really price-sensitive, so one of the best things you can do to keep kids from smoking and using these products is to make them more expensive," she says. "It could have been one of the best things they could have done to help kids stop smoking."

Experts say exposure to nicotine during childhood can have long-term effects on brain development, and cause addiction later in life. And Kiser says policies that prevent marketing to youth could help make a difference.

"Those are things we definitely need to do, but we need to do them right now, because this is a growing problem," she warns. "We're seeing use rates double and triple, in the course of one to two years. So, we need action right now."

The U.S. Food and Drug Administration is currently working on rules to regulate the manufacturing, marketing and sale of alternative tobacco products, and Ohio law prohibits the sale of e-cigarettes to minors.




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Hundreds of millions of American young people are exposed to vaping and smoking in popular movies, TV shows and music videos each year, according to the 7th annual "While You Were Streaming" report from the nonprofit Truth Initiative.

Tobacco depictions are down in the most popular Hollywood shows but they are heavily featured in programs like The Bear, Euphoria, and Stranger Things.

Dr. Jessica Rath, a behavioral scientist and senior vice president of Truth Initiative, said youth and young adults are three times more likely to start vaping when exposed to tobacco imagery in shows.

"Animated shows remain a consistent offender," Rath emphasized. "Five out of six of the top 15 animated shows contain tobacco depictions and those are more popular with Gen Z than any other demographic."

The report found in 2023, 70% of binge-watched streaming shows contained tobacco imagery, a 6% increase from the year before. Shows fueling the increase included "American Dad," "Law & Order SVU," "Never Have I Ever," and "South Park."

Rath noted her organization is working with entertainment companies and state attorneys general to get information added before or after the shows, like you might see for suicide prevention.

"Companies can roll advertisements with tested prevention messaging or quit line resources up in the top corner when the content that they're showing contains tobacco," Rath suggested.

The good news is youth vaping is actually at its lowest rate in a decade but smoking in entertainment threatens to reverse progress.

Truth Initiative developed a free resource to help people quit: Text "EXPROGRAM" to 88709.

Kentucky will soon begin licensing retailers who sell nicotine, which advocates have said will help regulate an industry and protect minors from addictive chemicals.

Gov. Andy Beshear signed Senate Bill 100 into law earlier this week.

Griffin Nemeth, a student and coordinator for the iCANendthetrend Youth Advisory Board coordinator at the University of Kentucky, explained the legislation is no different from what's currently in place for retailers who sell alcohol.

"We're really just trying to make sure that tobacco and nicotine products are on par with what is already expected of some of these other establishments," Nemeth explained.

In a state where about 5% of high school students smoke and almost 20% use e-cigarettes, according to The Campaign for Tobacco-Free Kids, advocates said the new regulations are a welcome effort to curb tobacco use among minors. Data show smoking costs the state more than $2 billion every year.

Under the new law, Kentucky will license all retailers who sell tobacco and vape products, empowering the Department of Alcoholic Beverage Control to inspect and enforce rules for the businesses. Nemeth argued licensing is a strong tool to protect youth at the point of sale.

"We're now starting to see an increase in use of alternative nicotine products, like oral nicotine pouches, and we're still seeing pretty significant use of vapes and e-cigarettes," Nemeth observed.

The new law will also fine retailers who sell nicotine products to minors, and give half the money collected to a youth prevention program.

This story is based on original reporting by Sarah Ladd for the Kentucky Lantern.

Nebraska needs to do better when it comes to tobacco use prevention and cessation, according to a newly released report.

In the American Lung Association's 2024 State of Tobacco Control report, Nebraska received an "F" in three of the five areas rated. One is for tobacco prevention and cessation funding.

Michael Seilback, national assistant vice president for state public policy for the American Lung Association, said Nebraska is spending vastly less than what the Centers for Disease Control and Prevention recommends.

"The fact is that the state is taking in these dollars, and we're saying, reinvest just some of them," Seilback explained. "You can easily meet CDC best practices with tens of millions of dollars to spare."

The report showed Nebraska's tobacco-related revenue is nearly $98 million per year. However, for fiscal year 2024, state funding for tobacco control programs is less than $4 million.

On the bright side, the state received an "A" for smoke-free air.

Responding to the report, a spokesperson with the Public Information Office at the Nebraska Department of Health and Human Services pointed to the Nebraska Quitline. It has received more than 100,000 calls since 2000, with Quitline users six to 10 times more likely to still have quit after seven months than those who try to quit cold turkey. The Nebraska Quitline number is 1-800-784-8669, and 1-800-355-3569 for Spanish speakers. Web-based coaching and texting and free "quit medication starter kits" are also available.

The state also received an "F" for tobacco taxes. Seilback called the state's cigarette tax of 64 cents per pack extremely low and supports Gov. Jim Pillen's proposal to increase it by as much as $2 per pack. He added the American Lung Association always pushes for increased tobacco tax dollars to be used for prevention and control and helping people quit.

"To be clear, even if not one dollar was spent -- and we wouldn't encourage it -- on its own, just increasing the price has an impact on the amount of people that use it," Seilback pointed out. "Increasing that price would help prevent kids from starting."

Nebraska's third "F" is on flavored tobacco products, as a result of having no state laws or restrictions.

Seilback commended the state for participating in the multistate lawsuit against e-cigarette manufacturer, JUUL Labs, with the settlement money going to programs to curb addiction.


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