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As demonstrated in previous 8 and by our current survey data, 18-year-olds are significantly more likely to report ever smoking and e-cigarette use compared with younger age groups

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The particulate matter in cigarette smoke penetrates deep into the lungs, causing inflammation and damaging the mucociliary clearance system

But 20.2% of Michigan 18- to 24-year-olds reported using e-cigarettesmore than twice the 8.5% of Michigan adults who use them