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Over 49 million adults and 2.25 million youths under 18 currently use tobacco products in the U.S., and cigarette and vape use has been tied to nearly 480,000 deaths every year

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Measures Questionnaire A self-administered questionnaire was used to assess the general sociodemographic characteristics of participants (age, sex, grade, boarding situation and academic performance), factors associated with e-cigarette use (ever use or currently use), environmental exposure (defined as adolescents who have seen anyone using e-cigarettes over the past 30 days), perceptions (including two domains, positive and negative expectancy domains)