Youth Tobacco & Nicotine Use Toolkit - 2019 | Page 6

  3.6 million students in the United States reported using e-cigarettes in 2018. 11 According to the National Institutes of Health (NIH), youth who use e‐cigarettes are approximately 4 times more likely to use conventional (combustible) cigarettes than a non e‐cigarette user. 12     Inaccurate Knowledge of Products Many young users are unaware the products they are using almost always contain nicotine. Over 60% of teens incorrectly reported e‐cigarettes as being comprised of mostly lavoring. 12 Manufacturers don’t have to report e‐cig ingredients, so users don’t know what’s actually in them. 6