Healthy People in Action

Teen substance use can harm brain development and increase the risk of addiction later in life. Nationally, over 14% of U.S. teens use alcohol or drugs. In Washington State, the 2016 Healthy Youth Survey found that 20% of 10th grade students drink alcohol and 17% use marijuana—and these students report lower grades in school than students who don’t use those substances.

Tooth decay (also known as caries or cavities) is one of the most common chronic health conditions affecting children in the United States. American Indian and Alaska Native children have especially high rates of tooth decay; the rate for American Indian and Alaska Native children ages 3 to 5 is 43%—more than 4 times the rate for white children.

Exposure to secondhand smoke contributes to the deaths of 41,000 nonsmoking adults and 400 infants in the United States each year. Children exposed to secondhand smoke are at higher risk for serious health conditions, including Sudden Infant Death Syndrome (SIDS) and respiratory diseases. Smoke-free environments are vital to children's health and well-being, yet close to 40% of U.S. children ages 3 to 11 are exposed to secondhand smoke.