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Young women show a decline in traditional smoking but an increase in vaping, while middle-class womens smoking rates have risen sharply from 11.7% to 14.9%

However, using e-cigarettes can cause short-term health effects such as nicotine dependence and can affect the brain development of youth and also affect developing fetuses

Lawmakers could learn the lessons of cigarette taxation and prohibition and apply them to vaping regulation, but states are often falling into the same pitfalls that hurt revenues, legal businesses, and consumers

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This increase has resulted from changes in the design and composition of cigarettes, with filter ventilation likely to have contributed, perhaps by promoting deeper inhalation of particles into the lungs