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One of the reasons why the e-cigarette epidemic among young people is so troubling is that e-cigarette use seems to lead to the use of traditional cigarettes

(2016) both parents smoking showed clear associations with LBW (odds ratio [OR] = 1.64, 95% confidence interval [CI] 1.18 2.27) and short birth length (1 standard deviation [SD] OR = 1.38, 95% CI 1.07 1.79

The messaging on the RYO inserts, in comparison, was viewed unfavorably and generally dismissed

Most vapor product users, for example, also smoke or previously smoked cigarettes.[22] As the price of vaping increases, fewer users will be willing to switch to vaping from smoking and more users will consider black market alternatives to paying hefty cigarette taxes

It also goes into other methods of nicotine consumption