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Patients may sometimes express reluctance to quit smoking for many reasons, including limited awareness of the health risks of tobacco use or challenges such as financial or social barriers that make cessation difficult

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That trend reflects an even greater interest than that seen when e-cigarettes were first introduced in the Japanese market, the researchers said

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They judge the patients motivation to quit

In 2015, more than 3 million youth in middle school and high school, including about one in every six high school students, used e-cigarettes