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There are large differences in the science and regulation of these products

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While there are several official publications and fact sheets from the CDC presenting prevalence trends, we improved on previous publications in 3 ways: Combined smoking-vaping status, rather than looking at each product in isolation (which doesnt distinguish between exclusive vs dual use) which Brad Rodu also recently did (Rodu & Plurphanswat 2024)

The economic cost of tobacco smoking in the United States exceeded $600 billion in 2018, including more than $230 billion in direct healthcare expenditures and more than $370 billion in indirect expenditures due to productivity loss