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Dr Oelsner said: 'There are anatomic differences in the lung that persist for years after smokers quit and gene activity also remains altered.' The results of the study, which involved academics from a handful of institutions, were published in The Lancet Respiratory Medicine

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In contrast, favorable attitudes toward e-cigarettes were strongly associated with current use after adjustment for sociodemographic factors, suggesting that attitudes may mediate the influence of social exposure, peer norms, and stress-related motivations on vaping behavior

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