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The Surgeon General said that 1 in every 5 high school students and 1 in every 20 middle school students use e-cigarettes

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This difference in prevalence between the two behaviors suggests a normalization of alcohol use versus tobacco use, likely the result of alcohols historical significance, coupled with its role in religious rituals, social gatherings, and cultural traditions

JAMA 313 , 14251434, doi:10.1001/jama.2015.2707 (2015)