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Outcomes were comparative harm perceptions, defined as perceiving ENDS, hookah, cigars, or smokeless tobacco as less harmful versus same or more harmful, relative to cigarettes

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E-cigarette use has also been linked with pre-symptomatic cardiovascular dysfunction

These companies have worked hard via persuasive marketing to frame vaping as the safer option in response to decreasing cigarette consumption (and falling profits)

Understanding these risks helps frame why people look for alternatives to cigarettes for better respiratory health

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