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African American nonsmokers generally have higher cotinine levels (an indicator of recent exposure to tobacco smoke) than nonsmokers of other races/ethnicities.12 Nearly 15 of every 100 non-Hispanic Blacks (14.9%) MS Youth Tobacco Survey Data E-Cigarettes Current e-cigarette use among public middle school students has increased by 1083% since 2010, leading to 7,096 more young e-cigarette users Current e-cigarette use among public high school students has increased by 1700% since 2010, leading to 26,623 more young e-cigarette users The prevalence of having ever tried using e-cigarettes has increased by 1744% since 2010, leading to 17,138 more middle school students who have tried using e-cigarettes

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Heavy use increases the risk of addiction and mental health disorders