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Brody AL, Mandelkern MA, London ED, Childress AR, Lee GS, Bota RG et al (2002)

Overall, students who had used ENDS in the past month were less likely to think it was wrong to smoke cigarettes and more likely to have close friends who smoked, compared to students who had not used ENDS in the past month

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Example 1: Consistent Smoking Cigarettes per day: 10 Years smoked: 30 Packs per day = 10 divided by 20 = 0.5 packs per day Pack years = 0.5 multiplied by 30 = 15 pack years Example 2: Heavy Smoking Cigarettes per day: 40 Years smoked: 15 Packs per day = 40 divided by 20 = 2 packs per day Pack years = 2 multiplied by 15 = 30 pack years Example 3: Intermittent Smoking Cigarettes per day: 15 (on average) Years smoked: 25 (with some periods of not smoking) Packs per day = 15 divided by 20 = 0.75 packs per day Pack years = 0.75 multiplied by 25 = 18.75 pack years Factors to Consider When Calculating Pack Years While the formula for calculating pack years is simple, there are some nuances to keep in mind: Inconsistent Smoking Patterns: Some individuals may have smoked heavily at certain times and lightly or not at all at other times