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The government also says that e-cigarettes are often made with dangerous chemicals

Related Stories Vaping devices and flavors affect genes differently TikTok promotes a thriving illicit vaping culture among young people Vaping or smoking found to reduce fitness in young people by 15% E-cigarettes are very often promoted as safer alternatives to traditional cigarettes, which deliver nicotine by burning tobacco

Most documented impacts occur at the individual level, and relatively little research has explicitly tested for effects at population, community or ecosystem levels

Also, our outcome is a binary indicator representing current smoking status and, in the NHANES, these data are subjective (i.e., self-reported) 26