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Studies that survey people about whether they smoke or vape over time consistently show that young people who don't smoke but use e-cigarettes are more likely to take up smoking cigarettes later on than those who never vaped

(accessed June 15, 2023)

A separate study showed a significant impact of e-cigarette aerosol on TEER following 10 days of exposure (compared to 2448 h in the Haswell study) that was similar to cigarette smoke, suggesting that longer-term exposure to e-cigarette aerosol may have an impact on epithelial barrier function [24]