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4.1 Strengths and limitations Study strengths include the large sample size, and comparison of results between two settings (one high-income, one middle-income) that have different norms, cultural traits, regulatory contexts, network structures, and health behavior patterns

However, when comparing NHB and NHW individuals, we observed a higher hazard ratio for those who smoked 20 cigarettes per day compared to those who smoked 40 cigarettes per day

Additionally, the CDC reports that among adults aged 18 and over, 4.5% were current e-cigarette users, with a higher prevalence among men (5.1%) compared to women (4.0%)