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Misperceptions about the relative harms of vapes compared with cigarettes among smokers are highest among those who have never tried vaping

"Reverse causality may also be a factor, where having a higher body weight in itself could lead to someone taking up smoking, or increasing their tobacco consumption," the researchers said

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At the opposite end of the smuggling spectrum were casual smuggling "export" states that is, the states whose total cigarette consumption was lower than their observed sales due to casual smugglers from other states taking cigarettes back across state lines illegally