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You are able to puff at any time and place, and thus it becomes difficult to realize how much one is developing an actual consumption

For this longitudinal analyses to measure maintenance, age groups were classified as: 1) Youth (aged 1217 years in 3 consecutive waves), 2) Age up youth (a youth who became a young adult at some point during the 3 consecutive waves in which they reported ENDS flavor), 3) Young adults (aged 1824 years in 3 consecutive waves), 4) Age up young adults (a young adult who became an adult at some point during the 3 consecutive waves in which they reported ENDS flavor)

Data are standardized, reconciled, and cross-checked to ensure consistency across time series

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adults (19.0%) reported currently using any commercial tobacco product, including cigarettes (12.5%), e-cigarettes (3.7%), cigars (3.5%), smokeless tobacco (2.3%), and pipes (1.1%)