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These trends have also been reflected among adolescents: cigarette smoking (defined as smoking a cigarette in the past 30 days) decreased in this population from 15.8% in 2011 to 8.0% in 2016, and e-cig use increased from 1.5 to 11.3% in the same time frame ( Many researchers and clinicians have strongly advocated for transitioning asthmatic smokers to e-cigs to reduce the healthcare burden of smoking-induced asthma exacerbations [1719]