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Tobacco smoking has chemical toxicants which can have detrimental effects and damage 18

(2014) Brief educational intervention to improve medical student competence in managing patients exposed to secondhand smoke

Similar to the results our study literature about factors associated with dependence among e-cigarette users have found that nicotine dependence among e-cigarettes was associated with initiation of e-cigarette use at a younger age, e-cigarette use among friends and more recent use [20], as well frequency of use, concurrent cigarette smoking, use of nicotine e-liquids and higher nicotine concentrations [49]