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Mental Health and Substance Abuse Tobacco Use Table 51 shows the percentage of middle school students in Indian River and Florida who reported 'current cigarette use' from 2002 through 2014. Current cigarette use is defined as having smoked one or more cigarettes during the past 30 days. While the rate in Florida has been on a steady downward trend, the rate in Indian River has fluctuated, with a sharp increase between 2008 and 2009. In 2014, 3.0% of Indian River County middle school students reported smoking cigarettes in the past 30 days. Table 51: Middle School Students Who Report Smoking Cigarettes in the Past 30 Days, Indian River, Florida, 2002-2014 Source: FloridaCHARTS, Youth Risk Substance Abuse Survey, 2014 Compiled by: Health Council of Southeast Florida, 2014 Table 52 shows the percentage of high school students in Indian River and Florida who reported `current cigarette use' from 2006 through 2014. Current cigarette use is defined as having smoked one or more cigarettes during the past 30 days. In both the county and the state, the rate of middle school student smokers decreased considerably between 2006 and 2014, with a 8.4 percentage point decrease in Florida and a 9.7 percentage point decrease in Indian River. Indian River's rate of high school students who reported smoking, 8.6%, was greater than the state's, 7.1%, in 2014. Table 52: High School Students Who Report Smoking Cigarettes in the Past 30 Days, Indian River, Florida, 2006-2014 Florida Indian River 15.5% 18.3% 14.5% 15.5% 13.1% 14.0% 10.1% 13.9% 7.1% 8.6% Source: FloridaCHARTS, Youth Risk Substance Abuse Survey, 2014 Compiled by: Health Council of Southeast Florida, 2014 45 'Page — Indian River County Children's Assessment 2014 124-1/7 2002 2006 2008 2010 2012 2014 Florida 9.2% 6.6% 5.0% 4.9% 3.3% 2.0% Indian River 7.4% 4.4% 5.2% 7.9% 3.4% 3.0% Source: FloridaCHARTS, Youth Risk Substance Abuse Survey, 2014 Compiled by: Health Council of Southeast Florida, 2014 Table 52 shows the percentage of high school students in Indian River and Florida who reported `current cigarette use' from 2006 through 2014. Current cigarette use is defined as having smoked one or more cigarettes during the past 30 days. In both the county and the state, the rate of middle school student smokers decreased considerably between 2006 and 2014, with a 8.4 percentage point decrease in Florida and a 9.7 percentage point decrease in Indian River. Indian River's rate of high school students who reported smoking, 8.6%, was greater than the state's, 7.1%, in 2014. Table 52: High School Students Who Report Smoking Cigarettes in the Past 30 Days, Indian River, Florida, 2006-2014 Florida Indian River 15.5% 18.3% 14.5% 15.5% 13.1% 14.0% 10.1% 13.9% 7.1% 8.6% Source: FloridaCHARTS, Youth Risk Substance Abuse Survey, 2014 Compiled by: Health Council of Southeast Florida, 2014 45 'Page — Indian River County Children's Assessment 2014 124-1/7