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Hammond and colleagues found that in their longitudinal study sample, ever use of e-cigarettes among Canadian adolescents (16 to 19 years old) increased from 29.3% in 2017 to 37.0% in 2018.[3] Similarly, the 201819 Canadian Student Tobacco, Alcohol and Drugs Survey (CSTADS), which included only students, found that past 30-day e-cigarette use among Canadian grade 7 to 12 students doubled (20% versus 10%) compared with the 201617 CSTADS results.[4] Data from the US are similar: past 30-day e-cigarette use among US high school students increased from 11.7% in 2017 to 27.5% in 2019,[13,14] which is the largest recorded increase in the use of any substance among US adolescents
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