Introduction:
Most adolescent and young adult (youth) smokers and users of novel nicotine products wish to quit. Little is known about the implementation of cessation counseling in youth at a population level.

Material and Methods:
A questionnaire was mailed to all 98 municipalities in Denmark on October 31. 'Youth' was defined as 16 to 25 years old. The participation rate was 96%. Simple descriptive statistics and logistic regression analyses were performed.

Results:
Four in five municipalities had no/very low/low experience with youth, 89% found it difficult to work with youth counseling and 90% found it difficult to recruit youth to quit services. Half of the municipalities reported that they had bad experiences with youth cessation counseling; the only significant factor associated with perceived success was not using the official educational quit materials, while the significant factors associated with success with nicotine product cessation were counseling.

Conclusions:
This nationwide survey showed that even in a country with very well-organized and free-of-charge cessation counseling programs very few municipalities give assistance to youth and most find it difficult to work with youth. Cessation services have been designed for adult smokers and seem to have failed to meet the needs of young smokers and users of novel nicotine products, at least in Denmark.