Introduction:
The Global Youth Tobacco Survey (GYTS) is a global CDC and WHO coordinated survey that is aimed to monitor the use of tobacco and new emerging products by schoolchildren and their knowledge, beliefs and attitudes toward tobacco and tobacco control policies.

Objectives:
To evaluate prevalence and trends of the use of tobacco (smoked and smokeless), ENDS and HT in Poland and identify major tobacco control challenges in youth population.

Material and Methods:
GYTS includes a two-stage (school and classes) sample design with schools selected with a probability proportional to enrollment size. GYTS is a cross-sectional, nationally representative school-based self-administered questionnaire survey of school students aged 13 to 15 years. In Poland, GYTS sample sizes of 13-15 years old students count from 3,000 to 4,000 respondents. Current analysis of data on tobacco use, beliefs and attitudes are based on all five GYTS rounds (1999, 2003, 2009, 2016 and 2022), while data on ENDS and HT use refer to GYTS data from 2016 and 2022.

Results:
In 2022, 17.1% of Polish students used any tobacco products, 12.5% currently smoked tobacco and 11.7% currently smoked cigarettes. Currently use of ENDS was at substantially higher level (21.2%) than tobacco products and two times more frequent than for cigarettes and HT (10%). The lowest proportion of current tobacco products use was observed for smokeless tobacco (4.5%). GYTS Poland results show that prevalence of cigarette smoking has decreased from 20% in 2016 to 11.7% in 2022. On other side, there is observed a sharp increase in prevalence of ENDS use among teenagers after 2009.

Conclusions:
There is a need to adapt Polish tobacco control activities addressed to youth to current challenges. These activities have to include: 1/ limitation of tobacco, ENDS and HT availability and affordability among youth, 2/ implementation of national school-based tobacco control program, 3/ enforcement of complete ban on tobacco, ENDS and HT use in public places, in particular pubs, night and disco clubs, sport objects, children playgrounds and youth entertainment venues, 4/ development of social media campaigns and mobile applications to prevent and quit youth smoking, 5/ implementation of population-based system for monitoring youth tobacco use, beliefs and attitudes.