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Nationally, nearly twice as many teens report using e-cigarettes than those who report using cigarettes, according to the Centers for Disease Control and Prevention

Consumers are increasingly aware of the ongoing costs associated with smoking or vaping, and rechargeable models offer a viable, cost-effective alternative that aligns with the global shift towards more sustainable consumption practices

The cohort study tracks 5,051 students who were in sixth grade the last year of elementary school when the study began in 2019, with the latest data collected between March and October 2025