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Increases in the Prevalence of Frequent E-Cigarette Use Among Adolescents

      The use of e-cigarettes, or electronic nicotine delivery systems, has increased among U.S. adolescents during the past few years.
      • Cullen KA
      • Ambrose BK
      • Gentzke AS
      • Apelberg BJ
      • Jamal A
      • King BA
      Notes from the field: use of electronic cigarettes and any tobacco product among middle and high school students - United States, 2011-2018.
      ,
      • Miech R
      • Johnston L
      • O'Malley PM
      • Bachman JG
      • Patrick ME
      Trends in adolescent vaping, 2017-2019.
      In 2019, more than 1 in 4 adolescents in high school indicated using e-cigarettes during the past 30 days, an increase of 38% from 2018.
      • Cullen KA
      • Ambrose BK
      • Gentzke AS
      • Apelberg BJ
      • Jamal A
      • King BA
      Notes from the field: use of electronic cigarettes and any tobacco product among middle and high school students - United States, 2011-2018.
      ,
      • Cullen KA
      • Gentzke AS
      • Sawdey MD
      • et al.
      E-cigarette use among youth in the United States, 2019.
      The increase in past 30–day rates of e-cigarette use is concerning, given that there is growing evidence that e-cigarette use, along with the frequency of e-cigarette use, is associated with symptoms of nicotine dependence among adolescents.
      • Case KR
      • Mantey DS
      • Creamer MR
      • Harrell MB
      • Kelder SH
      • Perry CL
      E-cigarette-specific symptoms of nicotine dependence among Texas adolescents.
      ,
      • Morean ME
      • Krishnan-Sarin S
      • O'Malley SS
      Assessing nicotine dependence in adolescent e-cigarette users: the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) Nicotine Dependence Item Bank for electronic cigarettes.
      Although large-scale epidemiological studies have confirmed that rates of e-cigarette use have increased within the adolescent population, it is difficult to discern from these studies whether the frequency of e-cigarette use has escalated. To address this gap in knowledge, this article assessed trends in the frequency of e-cigarette use among adolescents in 2 national studies between 2014 and 2018.
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        Notes from the field: use of electronic cigarettes and any tobacco product among middle and high school students - United States, 2011-2018.
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        Trends in adolescent vaping, 2017-2019.
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        E-cigarette-specific symptoms of nicotine dependence among Texas adolescents.
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