Beneficial and Harmful Tobacco-Use Transitions Associated With ENDS in the U.S.

April 25, 2025 by sciencedirect.com

Beneficial and Harmful Tobacco-Use Transitions Associated With ENDS in the U.S.

This study analyzed U.S. data to assess transitions in tobacco use related to ENDS (e-cigarettes). While 2.1 million people made beneficial transitions from combustible tobacco to ENDS or quit with ENDS support, 4.6 million made harmful transitions, including nonusers starting ENDS or ENDS users switching to combustible tobacco. Overall, harmful transitions outnumbered beneficial ones by more than 2 to 1. However, with proper regulation, ENDS could provide net public health benefits.


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