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Engagement with regulated alternatives has grown steadily

Previous studies have observed that smoking duration has the greatest influence on COPD risk and this also occurs in other diseases such as lung cancer810,14,15 and cardiovascular disease.24 Thus, people who smoke with a lower intensity for a longer period of time have a higher risk of lung cancer than those who smoke with a higher intensity in a shorter period.8 In relation to COPD, this aspect has not been as extensively studied as in lung cancer

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However, there is no evidence that exposure to advertising and promotion for e-cigarettes prompt use among anyone