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Unpacking the Gateway Hypothesis of E-Cigarette Use: The Need for Triangulation of Individual- and Population-Level Data

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This imbalance in the lung microbiome may disrupt immune homeostasis and contribute to inflammation, suggesting potential therapeutic targets such as probiotics (Fig

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Nationally, smoking prevalence among high school students was 3.8%.2 Other tobacco product use: Pennsylvania* Vaping rate in Pennsylvania In 2022, 7.4% of adults in Pennsylvania used e-cigarettes.3 Nationally, adult e-cigarette use prevalence was 7.7%.1 In 2022, 4.8% of adults in Pennsylvania used smokeless tobacco every day or some days.1 Nationally, adult smokeless tobacco use prevalence was 3.4%.1 In 2021, 19.2% of high school students in Pennsylvania used electronic vapor products on at least one day in the past 30 days