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The new law was structured to strike a balance between protecting youth from inducement to nicotine and tobacco use, while allowing adult smokers to legally access vaping products as a less harmful alternative to tobacco. With this decision, and the adoption of the Tobacco and Vaping Products Act , Canadians were abruptly enrolled in a natural experiment on the impact of a liberalized nicotine market on their health behaviours

In conclusion, current exclusive e-cigarette use was associated with lower odds of prevalent hypertension compared with never users in conventionally adjusted models, an association concentrated among former smokers who had switched to vaping

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More importantly, those studies excluded use of other tobacco products, which eliminates 60% of all current cigar smokers from follow-up [23]