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The relatively high prevalence of e-cigarette use, combined with the strong association between attitudes and vaping behavior, suggests that interventions addressing perceptions, social norms, and stress-related motivations may be more effective than approaches based solely on risk education (3638), unless they also address perceptions, social norms, and motivations such as stress relief and peer influences ( The presence of knowledge gaps even among students in health-related fields supports the need to integrate up-to-date education on e-cigarettes and nicotine dependence into academic curricula ( At the policy level, the study's findings support the need to strengthen institutional and governmental regulations regarding access to and use of e-cigarettes

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