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Similar to the trend in adults, tobacco use among US youth such as middle and high school students is also declining, with 6.6 percent of middle and 12.6 percent of high school students reporting current use of a tobacco product in 2023 (185)

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[112] The nature of the issue varies

The overlap of asthmatic symptoms and underlying mechanism that drive pathophysiology may resemble that of e-cigarette use, but more concrete and targeted studies need to be performed in human subjects to determine if and how e-cigarette may cause asthma and/or worsen symptoms in patients with existing respiratory diseases