Teens blowing off real cigarettes for their electronic competition (World Magazine)

By EMILY SCHEIE | December 23, 2014

Photo by Dan Kitwood/Getty Images

Photo by Dan Kitwood/Getty Images

A new survey about teen substance abuse shows drug and alcohol use is down, but it’s been replaced by something health experts say could have long-term, as-yet unknown effects—e-cigarettes.

The Monitoring the Future survey has gathered information on students’ drug, alcohol, and cigarette use for 40 years. But for the first time, this year’s survey measured students’ use of e-cigarettes—battery-powered devices that produce a vapor usually containing nicotine.

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