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However, health risks have begun to emerge, and we know that vaping among teens is a precursor to smoking combustible cigarettes for many, said Robertson, who is also co-director of the Associations Tobacco Center of Regulatory Science

The meta-analytic tool overcomes many of the limitations of traditional meta-analyses by incorporating between-study heterogeneity into the uncertainty of risk estimates, accounting for small numbers of studies, relaxing the assumption of log(linearity) applied to the risk functions, handling differences in exposure ranges between comparison groups, and systematically testing and adjusting for bias due to study designs and characteristics

Favorable perceptions of vaping, normalization of the behavior within peer networks, and beliefs that vaping can relieve stress may encourage continued use even among individuals who are aware of potential risks