This study aimed to determine the poly-tobacco use among adolescents and to identify the mental health problems associated with single-, dual-, and poly-tobacco use
blends of thermoplastic starches and polyvinyl alcohol (e.g., Biograde WS from Biograde)
The percentage of high school e-cigarette users reporting frequent or daily use has risen steadily, to a high of nearly 39 percent in 2020
"The products are sold in flavors that appeal to youth, such as cotton candy, bubble gum, banana smash and many others, and the use of menthol cigarettes disproportionality impacts African American smokers," Brown said in an email
doi:10.1136/bmj.332.7550.1142
Furthermore, it is compounded by forces that promote tobacco use, such as the tobacco industry (18)