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Similarly, we investigated combustible tobacco cigarette smoking trends among American adults and, due to NHANES data constraints, were unable to include e-cigarette use in our analyses, even though 4.5% of adults aged 18 and over were current e-cigarette users in 2021, and e-cigarette use is associated with quitting combustible cigarette smoking 63,64

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Take part *Promotion is open to adult smokers, who have not purchased a device by the date of the draws on 19.07, 19.08 and 15.09.

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Economic and Environmental Factors The cost of cigarettes and other smoking products can influence preferences