Even when students recognize that e-cigarettes may be harmful or addictive, favorable perceptions, stress-related motivations, and peer norms may override cognitive risk appraisal
By 20152016, 8.6 percent of the study participants reported that they had used an e-cigarette as their first tobacco or nicotine product, 5.0 percent had first used another non-cigarette product like hookah or chewing tobacco, and 3.3 percent had first used traditional cigarettes
It is worth noting that because heated tobacco products still use dried tobacco, many of the harmful constituents are still present, even if the formation of tar and carbon monoxide is avoided, implying many of the adverse effects and risks from smoking are present with heated tobacco products, making E-Cigarette use likely the safer of these two
WARNING: Smoking reduces blood flow to the limbs, which can require amputation