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Study participants who had never smoked (see the Data Supplement for details), had unknown or missing smoking information, or had a history of lung cancer at study enrollment were excluded

With adult smoking rates falling, youth use at historic lows, and mounting evidence that flavored alternatives support cessation, Florida policymakers should focus on maintaining access to effective harm reduction tools rather than restricting them

'However, concerns persist regarding respiratory irritation and potential health risks, especially among youth, emphasizing the need for comprehensive, long-term research and protective legislation

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