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 Vaping and smoking together increases lung cancer risk fourfold Vaping vs. smoking: Long term effects, benefits, and risks The Surgeon General's office says gay people vape more than straight people. Chart: Teenagers Two to Three Times More Likely to Vape Than Smoke Statista