As reported in Leventhal and colleagues (2016), this result could suggest that e-cigarette use is more strongly associated with the onset (or return) to smoking as well as the progression to higher levels of cigarette use over the follow-up period, but may have less of an effect among those who are already smokersmany of whom may have started vaping after smoking initiation
95% CI, 2.6 to 19.1) (in men: relative risk, 2.3
Its treated the same as smoking and can lead to fines or even criminal charges
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