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E-Cigarettes and Vaping E-Cigarettes and Vaping: E-cigarettes, also known as electronic nicotine delivery systems (ENDS), are a growing craze among young people, particularly teens

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Due to the methodological limitations of interpreting causality from this descriptive population-level trend analysis and the multitude of influences on population-level e-cigarette use (e.g., policy changes, cultural changes, historical cohort effects), the ecological analysis does not provide strong evidence to rule out a possible risk-enhancing effect of e-cigarette use on youth smoking