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Story highlights The number of high school and middle school students using e-cigarettes was about 10 times higher in 2015 than 2011 Decreased use of cigarette and other tobacco products among adolescents is offset by a rise in e-cigarettes and hookah There is good news and bad news in the latest report by the Centers for Disease Control and Prevention on tobacco use in middle and high school students: Although adolescents have been smoking fewer cigarettes and cigars in recent years, their use of e-cigarettes and hookahs is on the rise

Okazaki R, Watanabe R, Inoue D

Areas with low urban influence where the majority of the residents work in the rural area house approximately 42 percent of the rural population