The survey found that 74.4% of adult vapers most often use non-tobacco flavors, with the majority of these preferring fruit or dessert-related flavors. Only 22.9% prefer tobacco flavoring, and an additional 2.7% prefer tobacco flavoring combined with menthol. Fruit- and dessert-flavored electronic cigarettes represent approximately half of the market among the users surveyed.

Furthermore, later in the paper they reinforce this point more specifically, writing: "the cross-sectional nature of our study does not allow us to identify whether most youths are initiating smoking with conventional cigarettes and then moving on to (usually dual use of) e-cigarettes or vice versa...".

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