Nicotine use among young people is evolving. New research shows more youth are using multiple nicotine products at the same timemost commonly cigarettes and e cigarettes, with a growing rise in combining vapes US Smoking Rates Fall as Vaping Rises: 2024 NSDUH Report Ecigator Reported Reasons for Vaping Among U.S. Adolescents (2021 2023) National Institute on Drug Abuse (NIDA) Vaping By The Numbers California Healthline Why a group of U.S. states smokes more than a less developed country While vaping is not risk free, it is less harmful than tobacco Our World in Data