IBH has since updated those analyses using a nationally representative sample from the 2022 NSDUH data and confirmed that the connectivity of substance use remains strong: In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any marijuana in the past month: 2.6% used some alcohol 1.9% reported binge drinking or heavy alcohol use 4.0% used tobacco products or vaped nicotine 1.0% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use marijuana in the past month: 20.3% used some alcohol 23.6% reported binge drinking or heavy alcohol use 59.1% used tobacco products or vaped nicotine 9.3% used other illicit drugs In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any tobacco products or vape nicotine in the past month: 2.7% used some alcohol 1.5% reported binge drinking or heavy alcohol use 2.8% used marijuana 1.0% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use tobacco products or vape nicotine in the past month: 15.8% used some alcohol 24.5% reported binge drinking or heavy drinking 49.7% used marijuana 8.6% used other illicit drugs In the graph above, the left-hand side shows substance use among youth aged 12-17 who DID NOT use any alcohol in the past month: 3.8% used marijuana 4.8% used a tobacco product or vaped nicotine 1.1% used other illicit drugs In the graph above, the right-hand side shows substance use among youth aged 12-17 who DID use alcohol in the past month

Both types of norms can predict vaping initiation and frequency
Methods LUCY Chew and Park, the product under study, is manufactured and marketed in the U.S
Some e-cigarettes are battery-powered, while others recharge through a USB port
This means no settlement money is directed specifically toward tobacco prevention or cessation programs
Many governments and private environmental groupsmost notably Greenpeace and the Sea Shepherd Conservation Societywant the big industrial nations to stop