Trends in Electronic Nicotine Delivery Systems and Cigarette Use Among Texas College Students, 2015–2024

Findings suggest that while cigarette use has declined over the past decade among Texas college students, there have been inconsistent changes in ENDS use. Although the present study cannot infer causality, these changes align with the timing of tobacco legislation and FDA regulations. The sharp increase in ENDS between 2017 and 2019 highlights the need to remain vigilant about new products and marketing strategies from tobacco companies, as they may undermine the effectiveness of tobacco control efforts.