Louisiana is 47th out of 50 states for tobacco use, with over 22-percent of adults light up, one of the highest percentages in the nation.
Be aware that this study does not provide proof of causality.
Vaping - a term for using e-cigarettes and similar devices - was the most popular alternative to traditional cigarettes.
The study, published Tuesday in JAMA Pediatrics from researchers at the University of California San Francisco's Center for Tobacco Control Research and Education, comes amid a growing debate around e-cigarettes.
"The elevated risk of cigarette use uptake in young populations who use e-cigarettes is strong and consistent, and this risk is amplified by the presence or amount of nicotine in e-cigarettes", Leventhal, who wasn't involved in the study, said by email.
"Cigarette "ever" use is a meaningful outcome given that nicotine dependence can manifest in adolescents soon after their first puff, but other smoking milestones, such as daily smoking, can take years to develop", the report said.
The newly reported analysis of the PATH data was unique because of its large size and the inclusion of both e-cigarette and non-e-cigarette tobacco products in the assessment of smoking risk. Results showed that odds of cigarette use approximately doubled for those who ever used e-cigarettes, hookah, noncigarette combustible tobacco, and smokeless tobacco. Mean age was 14.3; about half were female and half were white.
"Our nation has made enormous progress in reducing youth cigarette smoking".
Previous studies have found evidence to suggest that e-cigarettes (plus other non-cigarette tobacco products) act as a gateway to conventional smoking. Compared with baseline never tobacco users, youths who had tried more than one type of tobacco product at baseline had 3.81-fold increased adjusted odds of past 30-day cigarette smoking.
It also mandated that tobacco companies place graphic images showing the harmful effects of smoking on the upper part of cigarette packs in 2016. Using multiple products increased the chances. That's because any tobacco use is harmful to the body, and the new study now draws a clear link to future cigarette smoking.
And in another report released Tuesday, researchers said that almost 3 million American teens had been exposed to online marketing of tobacco, as cigarette manufacturers have shifted their marketing strategies from traditional forms of media to the internet. "Regulation of these non-cigarette products should reflect the fact that all of them are associated with greater risk of youth smoking", he said.
"If hitting yourself on the head with a 4-pound hammer is bad, do we really want to be sending the message that it's better to hit yourself on the head with a 2-pound hammer?" he asked. The work of the American Lung Association is focused on four strategic imperatives: to defeat lung cancer; to improve the air we breathe; to reduce the burden of lung disease on individuals and their families; and to eliminate tobacco use and tobacco-related diseases.