In grade 6, most students report their friends do not use chewing tobacco. However, in grade 8, students report 10 to 12% of their friends use chewing tobacco

By grades 10 and 12, approximately 35 to 40% of the students report their friends are using chewing tobacco

More importantly, the number of students reporting their friends using chewing tobacco has increased at the 10th and 12th grade level since 2002

These data indicate that major interventions are needed for this substance.