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Heavy passive exposure can sometimes trigger a low-level positive, which is why quantitative testing may use lower cutoffs (e.g., 20 ng/mL in urine) to differentiate passive exposure from active use

In NHANES, smoking data were collected via household interviews, with adults aged 20 years self-reporting their smoking status

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National Youth Tobacco Survey found that about one-third of middle and high school students were exposed to vaping aerosols in 2018

Higher prices make cigarettes less attractive, especially to young consumers