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This study analyzed self-reported data, which may be biased by social desirability and other related issues, such as how respondents defined smoking (i.e., whether smoking includes e-cigarettes and vaping)

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As expressed by Spijker and colleagues (Counotte et al., 1)

[8] For the US FDA's purposes, if a tobacco product meets the legal definition of a cigarette but the tobacco is not heated to a temperature high enough to cause combustion, the product would be currently categorized as a non-combusted cigarette and regulated as a cigarette

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