E-cigarettes have increased in popularity among U.S. college students with 78% reporting usage over in Fall 2022. Many users believe e-cigarettes are less harmful than traditional cigarettes because they do not produce tar and many harmful chemicals associated with smoking. Additionally, e-cigarettes are often seen as more cost-effective and offer a wide range of flavors, making them particularly appealing to young adults and college students. Their compact and discreet design allows for easier use in various settings. Social influences, such as peer pressure and targeted marketing, have further boosted their popularity among young people.  This shift is largely due to the perception that e-cigarettes are safer and more affordable. However, nicotine from any source poses significant risks, including harm to developing brains and increased addiction susceptibility, and can also worsen symptoms of depression and anxiety. According to the American College Health Association's Spring 2023 survey of over 55,000 undergraduates, approximately 76% experienced moderate to serious psychological distress, highlighting the mental health challenges students face alongside their use of nicotine products.