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In 2020, the Center for Disease Control and Prevention reported a higher use of vapes in adults with disabilities (8%) when compared to adults without disabilities (3.9%).[18] In a study by A Senders et al, on disparities of tobacco use in adolescents in the state of Oregon USA, it was reported that 18.3% of adolescents with disability used e-cigarettes when compared to 12.3% with no disability.[19] An article published by E Emerson in 2023, reported that there was a tentative higher prevalence of e-cigarette use among female adolescents with intellectual disability at the age of 17 when compared with girls with no disability of the same age

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Seeking professional guidance, participating in support groups, and exploring nicotine replacement therapies can be helpful strategies when tackling dual addictions

But the committee noted: "If people perceive e-cigarettes as safe this perception could transfer to heat-not-burn tobacco products, despite a lack of data on which to establish this." Public Health England says there is a large amount of evidence that shows e-cigarettes are much less harmful than smoking - at least 95%
