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There may be many plausible explanations for this overlap including a combination of biological and psychosocial factors

Consumption of EVPs has been dramatically increasing world-wide, particularly among younger people and non-smokers

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Adult vaping has been generally constant throughout the period of the present analysis (3.3% prevalence in 2014 vs 3.2% in 2018) but rose to 4.5% in 2019 and has maintained that level since, with increases concentrated among those aged 1824 years (from 7.6% to 11% from 2018 to 2021) and to a less extent among those aged 2544 years (from 4.3% to 6.5%) 8