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Tobacco is offered for many reasons and in many different contexts

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Evidence for truth: The Young Adult Response to a Youth-Focused Anti-Smoking Media Campaign

In addition, nicotine is addictive, and adolescents and young adults are more susceptible to its effects because their brains are still developing

There is an association between smoking and periodontal disease in children and adolescents

The mere fact that it is sudden and geographically restricted (there are no reports outside of the U.S.) indicates that e-cigarettes per se are likely not to blame, but rather some new product, ingredient, or manufacturer is the culprit