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 marijuana associated with more symptoms of lung damage than vaping or smoking nicotine Can Smoking and Vaping Cause Back Pain? National Spine Health Foundation 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 Vaping vs. Smoking: Is Vaping Bad for You Too? Vaping360 Vapes are more addictive than cigarettes.