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The Centers for Disease Control and Prevention goes further, framing all commercial tobacco use as unsafe and highlighting secondhand exposure from cigars and cigarettes alike

In high-income countries such as the United States and the United Kingdom, individuals with higher levels of education and income were initially more likely to experiment with and adopt e-cigarettes, often as part of smoking cessation efforts [26, 27, 35, 36]

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In 2019, more than 18 million Americans smoked menthol cigarettes, with higher rates among young people, African Americans and other racial groups, according to the FDA