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Similar content being viewed by others Background The introduction of e-cigarettes in the US in 2007 and their significant uptake among adults since 2010 [1] may have impacted the prevalence of combustible cigarette smoking in the following ways: (1) If e-cigarettes act as a gateway to cigarette smoking, then at the population level, increased e-cigarette use prevalence would coincide with increased smoking prevalence [2, 3], or at the very least, a slowing of the rate of decline of smoking prevalence

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