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Less is known about the relationship between vaping and smoking among individuals with moderate levels of psychological distress (MPD), a group whose members may not experience serious mental illness but still endorse higher rates of mental healthcare utilization, impairment, substance use, and other risks compared to those with no/low psychological distress 24

If you fall into the latter group, you might be vaping a bit more than necessary

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23 by the regional Tobacco and Alcohol Prevention Collaborative, which sent a 17-year-old into the store to buy cigarettes