harmful effects of tobacco chewing use [WHO Report on the Global Tobacco Health effects of smoking tobacco

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Internationally, trends in e-cigarette use by SES are shaped by local market dynamics, cultural norms, and regulatory landscapes

government agency responsible for regulating tobacco products, including nicotine content, advertising, and health warnings

however, its reach has broadened to other communities.9 Twitch is a video streaming platform that focuses on video game live streaming but also includes other content such as e-sports and music.10 These newer platforms can appeal to youth, particularly among video gamers, mainly because of their highly interactive and community-geared nature.11 Taken together, these social media platforms enable engagement with tobacco content through common features such as commenting, liking, messaging and adding other users as friends in their own network