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For instance, smokers with higher self-efficacy, social support, and access to smoking cessation medications have higher odds of attempting to quit 12,14

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We now know that the opposite is true: cigarette smoking causes a lot of health problemsincluding bronchitis, emphysema (a type of lung inflammation), heart disease, and cancermaking smoking the leading cause of avoidable death around the world

Moreover, e-cigarette use is a predictor of smoking in 2018 but not in the prior (pre-e-cigarette) waves , which makes sense on its face but exacerbates the incomparability across eras, in a way that I think would further inflate estimated smoking in 2018 specifically (since many other risk factors were less common then)