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The authors put forward two theories to help explain the association: the self-medication hypothesis, suggesting that adolescents experiencing emotional distress such as loneliness may misperceive nicotine use as helpful in relieving negative feelings or improve mood (see Section 9A.3), and the social facilitation theory, proposing that nicotine use may help adolescents gain acceptance and a sense of belonging within peer groups when facing social exclusion

Is it healthier

Economic burden is measured through direct healthcare costs and indirect costs such as productivity loss due to illness and premature death

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For example, the FDA approved ZYN for sale in the US