Since these other tobacco products are also not covered by the 1998 Master Settlement Agreement (MSA), lack of current FDA regulation gives tobacco companies wide latitude in their ability to target the youth market.8 For example, e-cigarette companies began fielding large television advertising campaigns in 2010, something unheard of for cigarettes since the Public Health Cigarette Smoking Act of 1969 banned the practice in 1971.9 Adolescents and young adults who use multiple tobacco products may be more susceptible to tobacco advertising and peer tobacco use than their counterparts who never smoked or only smoked cigarettes.1 ,2 Multiple tobacco product use may also increase nicotine exposure and nicotine dependence and the risk of other problematic behaviour (eg, binge drinking and marijuana use), compared with sole cigarette smoking.2 ,10 Given the risks of multiple tobacco product use, we do not yet know if multiple use includes emerging tobacco products such as dissolvable tobacco, e-cigarettes, snus and waterpipe tobacco (hookah)

Population Assessment of Tobacco and Health (PATH) Study [United States] Public-Use Files (ICPSR 36498) 2024
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Health and Safety Considerations While the shift from smoking to vaping marks a significant stride towards reducing health risks, its crucial to approach vaping with awareness, especially concerning nic salt e-liquids vs freebase nicotine