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Differences in average real price paid for cigarettes in each price quartile remained relatively constant until May 2017, when the cheapest prices (Q1 and Q2) converged and Q4 prices significantly increased

Nonetheless, several of the mentioned research are afflicted by technological slant (Very few studies employ distinct data sources for mother reports for both smoking and child characteristics.) Cross-sectional studies that employ objective Cotinine testing or diagnostic interviews are required

The most explicit answer to this question can be found in a 2024 article that considers the issue, explaining that heating tobacco yielded an aerosol but did not produce substances that the body could use as calories--and that flavour aerosols were inhaled, not used