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As a result, ethnic differences between the risk estimates could be due to group differences in self-reporting, or to subtle differences in smoking behavior (e.g., cigarette type, puff size, and depth of inhalation) that are difficult to capture with questionnaires

"Whether it's cutting back, switching to a nicotine patch, or joining a support group, your primary care provider can help you build a plan that works." Frequently Asked Questions Is vaping better than smoking cigarettes

Despite significant policy advances since 2018including smoke-free environments, advertising restrictions, and a constitutional prohibition on vaping productsthe tobacco industry continues influencing public policy through evolving mechanisms

See this paper to see why