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Research also shows that e-cigarettes, which are on the rise among youth, may be driving up youth smoking rates

95% CI: 1.872.61) and HTPs (=3.24

Current smokers of all ages, with or without ST use, also had elevated HRs for other causes (HRs = 1.551.68), in addition to significant increases in mortality from heart diseases (HRs = 1.722.30), malignant neoplasms (HRs = 1.953.15), chronic lower respiratory diseases (HR = 6.316.1), and all smoking-related diseases (HRs = 1.962.61)

Because tobacco and nicotine use is already an expensive habit, individuals who are not ready to quit may simply opt to pay the higher premium and maintain a behavior that is deeply embedded in their routine