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Initiating e-cigarette use in young adulthood increases the risk of nicotine addiction, respiratory issues, and harm to the developing brain from nicotine exposure 2

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Whether its mental health challenges, opioids, or tobacco, we have a responsibility to deliver science-based and proven solutions that help people stay healthy. Lawlor pointed out that tobacco use continues to be the leading preventable cause of disease and death in the United States and is responsible for 480,000 deaths annually. The health department cited studies that show 95 percent of current adult tobacco users started before the age of 21

2) the independence assumption that the instrumental variables are not associated with any confounders of the exposureoutcome relationship