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Moreover, stigma from being blamed because of negative societal perceptions of tobacco use has been identified as a particular challenge in lung cancer screening uptake in the US

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"The tobacco industry realized that half of its potential customers were not even considering using cigarettes," Robert Jackler, a tobacco advertising researcher at Stanford University, told Business Insider

Jessica used to vape but says "now everyone does it, it's just not cool any more" - and it seems the normality of vaping is causing some people to switch to cigarettes

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