Prevalence highest in current e-cigarette users and Hispanic and sexual minority populations

Disposable e-cigarettes are sold in flavors known to appeal to children and teenagers, including bubblegum and cotton candy

Increase in prevalence mainly due to increase among never smokers, who accounted for 53 percent of younger adult e-cigarette users in 2021

Reduced levels of teen cannabis use and nicotine vaping seen during pandemic continued, while alcohol use returned to prepandemic level

However, early electronic cigarette quitters plus stable cigarette use was the most common trajectory in 41.6 percent of participants

Findings seen in high school and middle school students; most commonly used tobacco product was electronic cigarettes

Increases seen in median days per month of e-cigarette use and number of e-cigarette users within five minutes of waking

Authors say these changes coincide with restrictions on the sale of sweet and fruit-flavored e-cigarette products

Meanwhile, FDA is still deciding whether it will allow Juul to sell its products in this country

Findings observed at the individual level, but less so at the population level, the authors say