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And lots of other kids are having similar response

Simulation modeling with sensitivity analyses that examine all the states and transition pathways in the state transition model (Figure 3) show that the gateway effect would have to be implausibly large to increase the net public health harm (20

Furthermore, EC use as a measure of smoking cessation seems relevant to adult smokers as most youths and young adults who use ECs are non-smokers

In fact, as of mid-2026, only 45 e-cigarettes are FDA-authorized to be lawfully sold, and they are primarily tobacco or menthol flavored

Table 2 Logistic regression results: Factors associated with ever e-cigarette use among surveyed people aged 1530 years, NovemberDecember 2021 (Australia, China, India, and UK samples combined) (N=2785*) DISCUSSION E-cigarette advertising is an important modifiable factor that should be addressed to minimize vaping-related harms 8

Kaur, G., Gaurav, A., Lamb, T., Perkins, M., Muthumalage, T., & Rahman, I