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Thus, while e-cigs may decrease the use of conventional cigarettes in adults with an existing smoking history, the prevalence of e-cig usage is greater in adolescent asthmatics relative to non-asthmatics, which is of concern

[l] Wakefield, Haynes, Tabbakh, Scollo, & Durkin, 2023

However, interpretation of this difference in terms of effects of smoking is not straightforward for various reasons