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2025;23(January):1 KEYWORDS TOPICS ABSTRACT Introduction: The aim was to establish EC use risk and protective factors, the reasons for use, associations with tobacco and other substance use, and use for smoking cessation

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While impaired decision-making (Iowa Gambling Task), impulsivity (Barratt Impulsiveness Scale) [30], working memory (N-back) [31], and learning and memory [32] have been observed in PLWH smokers relative to PLWH non-smokers, studies that take into account nicotine withdrawal (cognitive deficits arise within a few hours of stopping smoking [33, 34]) tend to report performance benefits [7]

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