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3 Epidemiology of e-cigarette use among adolescents In the United States, e-cigarettes have been the most commonly used tobacco product among youth since around 2014, and their use rose sharply over the past decade, peaking in 2019 when 27.5% of high school students reported vaping ( Globally, the prevalence of adolescent e-cigarette use has risen in tandem with the US trend ( Within adolescent populations, e-cigarette use exhibits notable demographic patterns