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[7] In a nationwide examination as part of the National Youth Tobacco Survey 2011 and 2012 cohort, e-cigarette use was associated with a greater likelihood of having a history or currently being an active cigarette smoker

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It can also elevate heart rate and blood pressure

Each individual underwent a bronchoscopy, a procedure in which physicians closely examine an individuals lungs and air passages

More structural barriers largely overlap with regions of our country, particularly in the Southern states, with specific histories of structural racism and disinvestment, described previously (see highlighted borders in map at right and above)