Vaping and smoking together increases lung cancer risk fourfold Many young people who vape did not smoke cigarettes before they started vaping. But young people who vape are more likely to start smoking cigarettes than those who never vape. We've developed What science says about vaping risks The Examination Vaping has overtaken cigarettes as the dominant nicotine risk for young people. The 2025 Monitoring the Future survey of 24,000+ US students confirms what schools have been seeing for years: 31% of 5 Things You Should Know About Vaping The Business Press