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However, I was unsure if it is a permanent change

Clinical Geriatrics 20 , 2832 (2012)

But apparently we need to keep beating the drum about how Black Americans in particular bear the biggest burden, and it doesnt even need to be that way. Despite significant reductions in overall smoking rates in the US, smoking among poor, less educated and marginalized groups remains high

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Research from the United States suggests denormalizing strategies that challenge perceptions of tobacco as a normal product might counter the images of glamour and rebelliousness young people associate with smoking [34, 35]

We dont know that yet, in part because there have been no published long-term studies on e-cigarette users