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Journalists should use their judgment on whether a passage can be recast for clarity, whether use of the pronoun creates more confusion than it solves, and whether it makes sense to explain the pronoun in the story

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"This can be done with concern, and without judgment or stigma, recognizing that cigarettes are engineered to be highly addictive." The study was published in NEJM Evidence .

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We hypothesized that more frequent vaping would be associated with lower daily cigarette consumption and that this association would be stronger among those with increased psychological distress