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Kenneth Warner, a professor emeritus of public health at the University of Michigan, said, "This study shows an increased probability of trying a cigarette if they've tried a vape, but I don't believe they establish a causal relationship." Warner also pointed out that the results don't quite mesh with findings from national studies that show the use of tobacco cigarettes has gone down for the past five years, and the use of e-cigarettes dropped in youth nationally in 2016

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Ellen Hahn, director of Kentucky Center for Smoke-free Policy at the University of Kentucky College of Nursing, said theres been an effort in previous years by some state lawmakers to increase Kentuckys cigarette tax