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38,42 Distinguishing between vaping and smoking may be obvious for some but not for others, for example, children 43 it may be difficult to police and it may be too early for research to establish if, or how, vaping changes the perceptions of smoking

This group struggles with higher rates of mental illness, especially depression and PTSD, compared to the civilian population, and they have much higher rates of traumatic brain injury (TBI), which can change behaviors

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No doubt thanks to predatory marketing tactics over the past four generations including billboards, point-of-sale promotions, corporate sponsorships, coupons and free samples concentrated in Black communities approximately 85% of Black people who smoke use menthols