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Bottom Line Cigarettes continue to fall out of favor with Americans, as only about one in eight U.S

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A study published in Pediatrics looked at cigarette use over a 20-year period by Southern California 11th- and 12th-graders and found that e-cigarettes were recruiting a new group of users who would not likely have initiated combustible tobacco product use in the absence of e-cigarettes. Another study showed that teens using flavored versions were less likely to see tobacco smoking as dangerous and therefore more likely to take up cigarette smoking

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Plus big tobacco has ramped up marketing efforts for smokeless tobacco products, by advertising them as alternatives to cigarettes in places where smoking is banned