Although current youth smoking rates have decreased, the use of electronic cigarettes and youth vaping has now overtaken smoking. According to the recent National Youth Tobacco Survey, E-cigarettes were the most commonly ever used tobacco product overall. Less is known about vaping, but science confirms that nicotine negatively affects the adolescent brain and is addictive. E-cigarette use among youth also is linked with use of other tobacco products as well as alcohol and marijuana abuse.

Smoking is still the leading cause of preventable death and disease in the United States.