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The evidence about harm reduction suggests that across a range of studies and outcomes, e-cigarettes pose less risk to an individual than combustible tobacco cigarettes

Given that impoverished Americans are more likely to smoke relative to their higher-income counterparts, the disproportionate effect of higher cigarette costs may, in part, have contributed to an overall slower rate of decrease in adult smoking prevalence during early to mid 2010 s 15

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an effect that impacts female smokers more than men [2] (smoking appears to throw off the balance of female sex hormones that help to maintain bone strength)