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They grow to five or more within a year

7 People using e-cigarettes or having direct exposure to e-liquids report experiencing dryness, burning, irritation, bad taste, bad breath, and pain or discomfort

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Nationally, adult smokeless tobacco use prevalence was 3.4% 1 In 2021, 17.2% of high school students in Massachusetts used electronic vapor products on at least one day in the past 30 days

27 After utilizing the 5As, referrals can be made for various modalities (including behavioral counseling, involvement of smoking cessation groups, telephone counseling, and use of self-help materials or apps) based on the individuals needs

3 Results 3.1 Literature review and quality assessment A total of 33 studies were included in this systematic review, of which 15 were cohort studies