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Targeted marketing has caused a recent surge in teen e-cigarette usage. In all-age surveys, we isolated adolescent data (13-20 years) to assess age alongside e-cigarettes, traditional tobacco, and dual usage of both with sleep quality and cough. Based on existing adult literature, we hypothesized an association between dual usage and increased sleep latency. Participants were recruited to complete surveys via social media sites. We performed three surveys Survey 1 (n=47) in 2018, Survey 2 (n=1198) in 2019, Survey 3 (n=564) in 2020. Surv
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