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It has not been established exactly why this happens

William Dahut, chief scientific officer at the American Cancer Society, said in a news release.Other findings include:About 33% of people who use tobacco also use e-cigarettes.More than 1.6 million youth use e-cigarettes, with 90% preferring flavored products.Racial minorities, people with disabilities, LGBTQ+ individuals, and those with lower income and limited education face higher tobacco-related burdens.While we have made significant strides in reducing smoking prevalence and expanding access to evidence-based cessation resources, we remain deeply concerned about persistent disparities in tobacco use and tobacco-related disease, senior author Dr

Juul was not specifically mentioned in the survey, and many teens refer to Juul use as juuling, indicating they may not consider it to be using an e-cigarette

Textbook of Family Medicine