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Another mediating mechanism proposed by the catalyst model is that youth who enjoy the pharmacological effects of nicotine or develop initial symptoms of nicotine dependence via e-cigarettes may be more inclined to use other tobacco products with nicotine-related pharmacological effects, such as combustible tobacco cigarettes (Schneider and Diehl, 2016)

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Young people who vape are three times more likely to go on to smoke cigarettes putting them at far greater risk of developing lung cancer, according to the largest global review of youth vaping to date

Tobacco taxation should be reconsidered and non-smoking legislation enforced