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The Alternative Market The Alternative Market has continued to grow drastically, 35%, from 2019 to 2018 while cigarettes stayed steady at 3.1%

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They ignore the fact that, during the past year, the National Youth Tobacco Survey showed that, although past 30 day vaping by high school students rose (from 20.8 percent to 27.5 percent) in the past year, cigarette smoking dropped 28 percent (from 8.1 percent to 5.8 percent) and has dropped 63 percent since 2011 (from 15.7 percent to 5.8 percent) to a new record low

We adjusted for all that and still we found a very strong and significant association between vaping and ED