Majorities of Americans also consider chewing tobacco (53%), cigars (37%), pipes (36%), and nicotine pouches (27%) to be very harmful. However, at least seven in 10 Americans believe that all of these substances are at least somewhat harmful. Unsurprisingly, those who smoke or vape are less likely to perceive their respective substances as harmful compared to nonsmokers and nonvapers
The study, funded by NHLBI, appeared in the American Journal of Physiology-Heart and Circulatory Physiology .
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