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The study also takes into consideration factors that affect smoking behavior, such as age, gender, socioeconomic status, motivation, and nicotine addiction Furthermore, the popularity and use of new products such as e-cigarettes or tobacco heating systems have risen markedly in Germany in recent years (12, 13)

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Pregnant women were classified as women who did not smoke (n = 84), women who quit during pregnancy (n = 23), women who smoked during pregnancy (n = 314), and women who both smoked and drank alcohol during pregnancy (n = 149)

Yet many states have recently introduced flavor bans, increased age restrictions, and tightened marketing regulations to mitigate the allure of vaping among youth