Nicotine use among young people is evolving. New research shows more youth are using multiple nicotine products at the same timemost commonly cigarettes and e cigarettes, with a growing rise in combining vapes Products Data Briefs Number 365 April 2020 Data and Reports Commercial Tobacco Use MN Dept. of Health Hawaii 2nd Highest Young Adult Vaping Rate > Hawaii Free Press Vaping on the rise in U.S., especially among young people Pew Research Center Vaping Rises Among Teens NIH News in Health