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These data clearly demonstrate that cigars could be as dangerous as or more dangerous than cigarettes, with respect to toxicant and carcinogen exposure per unit consumed

Neurology 85(8):715721 Peterlin BL, Rosso AL, Sheftell FD, Libon DJ, Mossey JM, Merikangas KR (2011) Post-traumatic stress disorder, drug abuse and migraine: new findings from the National Comorbidity Survey Replication (NCS-R)

Although not explored in our study, it is possible that this relationship can be explained by shared social, environmental, and genetic risk factors, or it may point to possible self-medicating behaviours. She said in the short term, nicotine may reduce feelings of anxiety and stress, and young people could be reaching for vapes as a coping mechanism. Regardless of whether mental ill-health influences smoking or vice-versa, it is clear that if we are to prevent vaping onset, we need to address mental health at the same time, she said

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