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Students whose friends had neutral attitudes toward vaping had higher odds (AOR=1.42

Although there is a large amount of evidence to prove the relationship between e-cigarette use and microbiota and respiratory inflammation, there is a lack of systematic research on the mechanism

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Moreover, the smokeless tobacco industry is led by increasing health issues related to smoking, smoking ban regulations imposed on cigarettes, increasing demand for alternative nicotine products, heightened consumer awareness, innovations in products such as nicotine pouches, acceptance of the culture in some markets, and advertising campaigns supporting smokeless products as a less risky alternative to smoking