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Published in 2025 in Tobacco Control, the study also showed that regular use of e-cigarettes is strongly associated with a higher prevalence of bronchitis and pneumonia. It further noted that exposure to chemical substances including flavoring agents, formaldehyde, and heavy metals released by device components can induce oxidative stress and DNA damage

E-cigarettes much more common in young adults The authors of the report, from Atlanta-based Chisquares and the University of California, San Francisco, analyzed data from the National Health Interview Survey, which is a nationally representative, in-person household survey conducted in 50 states and Washington, DC

Strong flavor policies: Flavors play a significant role in drawing youth and young adults to tobacco products