E-Cigarettes: More Popular Than Tobacco? E-cigarette flavor additives like cotton candy, bubble gum, and gummy bear seem to be designed to attract young users. As tobacco use has fallen, “vaping” has increased: In 2014, more middle and high school students used e-cigarettes than tobacco products. A recent survey found that the use of e-cigarettes increased from 1.1 percent in 2013 to 3.9 percent in 2014 among middle school students, and from 4.5 percent to 13.4 percent among high school students. That translates to a total of 450,000 middle school students and 2 million high school students (Arrazola & others, 2015). Many health experts are concerned about the long-term effects of e-cigarettes and their addictive potential, especially among young users (Kandel & Kandel, 2014).
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