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5 times as high or even 15 times as high as the risk associated with long-term smoking. Some known e-cig flavorings are approved for food usage but once aerosolized, have either unknown or negative health effects

Chewing tobacco is still used, predominantly by young males in some parts of the American South, but also in other areas and age groups

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Some of the reported reasons for e-cigarette use in teenagers and young adults include their flavoring 10,11 , discreteness 12 , easy accessibility 10 , desire to experiment 10 , perceptions that they are safer 10 , and advertising as well as marketing that directly targets young people 13