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. For help Is vaping more harmful than smoking cigarettes? More people incorrectly think so: Newsroom UT Southwestern, Dallas, Texas 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 Vaping vs Smoking: Effects and Tips for Protecting Your Lungs Max Hospital