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More dependent smokers may be more likely to transition via a period of dual use. Much more would be possible if we ended the anti-vaping activism, the doubt and misinformation, the bad science, the lazy journalism, and the moral panic that dominates the public discourse. But special attention, Bates said, should be paid to a second likely cause of increased dual use: ASH found that a staggering 50 percent of people who smokeup from 32 percent in 2021, and the highest proportion ever recordednow wrongly believe that vaping is as harmful as smoking, or worse

The covariates included gender, race/ethnicity, education level, age at screening, ratio of family income poverty, and BMI

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