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66 In other words, this study claims that youth who use e-cigarettes are almost 4 times more likely to start smoking cigarettes

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The vascular blood supply in the spermatic cord is relatively insufficient, and smoking is known to compromise oxygen delivery [131]

The Center for Disease Control and Prevention says that current smoking has declined from 20.9% (nearly 21 of every 100 adults) in 2005 to 15.5% (more than 15 of every 100 adults) in 2016

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In order to test the relationship, the researchers examined frequency of use and cumulative use over time (by comparing different waves of the study)