The prevalence of electronic cigarette (EC) use among youth in the United States is rising, with an estimated 4.3% of middle and 11.3% of high school students reporting EC use in 2016.1 Harm perception and family tobacco use could be contributing factors.2 Approximately 1 in 3 middle and high school students in the United States believe EC use is less harmful than cigarettes, regardless of smoking status.2 Adolescents who currently use ECs or have a family member who uses tobacco products are more likely to endorse ECs as less harmful than cigarettes.
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