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Gupta, director of the Healis Sekhsaria Institute for Public Health

Shiels, PhD, MHs, a research fellow with the National Cancer Institutes Division of Cancer Epidemiology and Genetics

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Notes and references Updated June 2018 *National and state-level prevalence numbers reflect the most recent data available

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It often coexists with other forms of marginalisation, such as racial discrimination, low health literacy, and limited access to digital technology, which together shape how individuals engage with health information and make decisions about e-cigarette use [27, 96]