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These findings suggests that health promotion and regulatory interventions could be targeted at increasing older smokers use of ECs for quitting or as a substitute for smoking, particularly as this age group is where prevalence reductions and quit rates are lowest

But the promotion of any addictive behavior in youth is potentially harmful, and can be translated into other addictive behaviors and may alter social development

Furthermore, advertising claims were much more potent in the extent to which they reduced perceived harm than disclaimers were in undoing this deception

Overall, the trends indicate a rise in prevalence and past use of e-cigarettes across countries 9,27,29,30,31,32,33 , though prevalence of use declined in 2020 during the pandemic according to data from Canada and the United States 27,31

Perception: Often considered normal cigarettes without health claims

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