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62, 95% CI 1.95-3.51), texting while driving (OR = 2.18, 95% CI 1.79-2.66), driving after drinking (OR = 2.95, 95% CI 1.61-5.4, current marijuana use (OR = 6.38, 95% CI 4.65-8.76), current painkiller use (OR = 2.47, 95% CI 1.63-3.77), and current heroin use (OR = 0.15, 95% CI 0.06-0.33). Driving after drinking was not significantly associated with e-cigarette use in 2017. E-cigarette use is associated with multiple other risk behaviors among youth. Further research should focus on environmental and policy efforts to reduce access to