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We note that the proportion of participants reporting a positive response in the product liking questionnaire was lower for the NPs than for the cigarette, indicating that other factors are also important in providing smokers with satisfactory alternatives to continued combustible cigarette smoking

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That is, given current evidence suggesting smoking is substantially more dangerous than using ENDS, the health costs from greater youth smoking as a result of ENDS taxes may outweigh benefits from reduced youth ENDS use , though an exact calculation is beyond the scope of this research. (emphasis added) Using several years of data from two large national surveys, these investigators found that while higher e-cigarette taxes reduce e-cigarette use, we estimate sizable positive cigarette cross-tax elasticities, suggesting economic substitution between cigarettes and e-cigarettes for youth