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Prior studies have found dual-use of these products to be associated with worse tobacco-related health consequences compared with non-use and sole combustible cigarette use. Blaha noted that its crucial to monitor how the patterns of e-cigarette use are changing among different population subgroups, including youth, tobacco nave people and people who use combustible cigarettes, to determine the effectiveness of regulations and initiatives aimed at improving public health by reducing the use of all nicotine products, including e-cigarettes as well as combustible cigarettes

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