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The results from this study can be used to understand the potential unintended consequences of the FDAs e-cigarette authorization for market entry among young adults who do not use tobacco and inform policy decisions and communication strategies to reduce any such unintended consequences

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Teens who were dual users (vaping and smoking) had the highest risk of poor mental health: 1.9 times more likely to have depression 1.6 times more likely to have anxiety 1.75 times more likely to have psychological distress Even using e-cigarettes alone was significantly associated with increased odds of depression and anxiety

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