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[7] In a nationwide examination as part of the National Youth Tobacco Survey 2011 and 2012 cohort, e-cigarette use was associated with a greater likelihood of having a history or currently being an active cigarette smoker

Reasons for the decline are likely multifactorial and may be related to the following: Increased public awareness of the risk associated with THC-containing e-cigarette, or vaping, product use as a result of the rapid public health response

Page last updated: January 27, 2026

Discoloration or stained fingers can indicate that someone is a long-term smoker or an unfiltered tobacco user

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