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Erika Sward, the national vice president of advocacy for the American Lung Association, notes: While we have made progress, sixty years later, our nation remains one step behind the tobacco industrys efforts to addict our nations youth to tobacco products and to keep current users addicted. When it comes to understanding the health, socioeconomic and changing demographic impacts of cigarette smoking, weve come a long way, baby

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However, while the inverse age gradient that increased over the period was also apparent in non-vapers, it was more pronounced among vapers (Additional file 1: Fig

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Their goal was to identify common and unique themes between smoking and vaping, with regards to reasons for, and barriers to, cessation

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