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Youth Trends <br />•National Youth Tobacco Survey <br />•Correlation between increasing tobacco products use and <br />prevalence of e-cigarette use for middle and high school <br />–Poly users more likely than dual or non-users to use e-cigarettes <br />•Exclusive use of combustibles has declined over time, <br />exclusive use of e-cigarettes and dual use has increased over <br />time <br />•70% of middle school students who have tried e-cigarettes <br />have also tried other combustibles <br />•1 in 5 of high school students have ever been dual users of e- <br />cigarettes and combustibles <br />