A study recently published in Pediatrics has found that 14.7 percent of middle and high school students use some form of tobacco product. Of those users, 4.3% reported using three or more tobacco products, while 2.7% report using cigarettes with one additional tobacco product. Research public health analyst Youn Ok Lee, Ph.D. explains that “the prevalence of teens combining multiple tobacco products is alarming, especially since there may be potential additive harms associated with this practice. By using more than one tobacco product, teens may be increasing their risk of nicotine dependence.” The data for the recent study came from the National Youth Tobacco Survey in 2012; the study’s findings are consistent with other reports looking at the use of alternative tobacco products, such as e-cigarettes and hookah.

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