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Overall, the inter-rater reliability was strong to near perfect across all codes, with the agreement ranging from 86.7 to 99.7% and prevalence and bias adjusted kappa statistic ranging from 0.73 to 0.99 with an average of 0.94

As of 2023, the number of e-cigarette users totaled 2.13 million , accounting for 7.7% of all tobacco products consumed by middle and high school students

The lower price should not be seen as an endorsement or encouragement to smoke, but rather as a reflection of the unique regulatory framework and taxation exemptions in place for Indigenous communities

Altrias interests are served by maximizing sales and profits from both the cigarette and e-cigarette markets, and they have every reason to push Juul to market its products in a way that does the least damage to the cigarette market. Balto agrees

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