Vaping vs Cigarettes Health Impacts Compared Many young people who vape did not smoke cigarettes before they started vaping. But young people who vape are more likely to start smoking cigarettes than those who never vape. For help Scripps Health E cigarettes remain the most commonly used tobacco product among middle and high school students in the United States, according to the Instagram Four In Ten Smokers Wrongly Believe Vaping Is As Harmful or Worse Than SMOKO E Cigarettes