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A further 2.8% reported using an e-cigarette occasionally, which is an increase from 2.6% in 2020, although, again, not statistically significant

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This could be a positive if familiarity encourages people who smoke to trial the product, but could be a negative if it encourages nicotine-nave persons to initiate

Perhaps this explains the fairly implausible higher risk compared to smoking

There is evidence that its use is associated with certain cancers, diseases of the mouth and nicotine addiction, and long-term use may increase the risk of death from stroke. From the JAMA Network: Shifting Views Toward Mental Illness A new study, led by researchers from Indiana University and Penn State University, signals that stigma toward mental illness might be receding into history