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In 2020, the Center for Disease Control and Prevention reported a higher use of vapes in adults with disabilities (8%) when compared to adults without disabilities (3.9%).[18] In a study by A Senders et al, on disparities of tobacco use in adolescents in the state of Oregon USA, it was reported that 18.3% of adolescents with disability used e-cigarettes when compared to 12.3% with no disability.[19] An article published by E Emerson in 2023, reported that there was a tentative higher prevalence of e-cigarette use among female adolescents with intellectual disability at the age of 17 when compared with girls with no disability of the same age

There are also legal restrictions to consider

[17] Reproductive and health policies [edit] The Nazi reproductive policies were a significant factor behind their anti-tobacco campaign

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