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According to the 2021 National Youth Tobacco Survey, the most popular answer was a friend used them . Even worse, again according to the 2021 National Youth Tobacco Survey, was the most common reason youth gave for continuing to use e-cigarettes: I am feeling anxious, stressed, or depressed . Direct Link Between Youth E-Cigarette Use & Poor Mental Health, Including Depression In addition to the detrimental health effects described earlier in this article, numerous studies have reported a direct link between e-cigarettes / vaping device use and worsening mental health, including an increase in the symptoms and diagnosis of depression among youngsters