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Vaping Statistics & Facts Among Kids According to the American Academy of Pediatrics, 3.6 million middle and high school students in the US reported using e-cigarettes in 2020

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Researchers found reductions in smoking, with weekly cigarette use among dual users falling significantly and nearly half stopping smoking entirely during the study

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Most included studies were cross-sectional, limiting causal inference, and substantial heterogeneity, publication bias, and residual confounding remain important limitations