The study concludes that "e-cigarette use is aggravating rather than ameliorating the tobacco epidemic among youths."

Furthermore, later in the paper they reinforce this point more specifically, writing: "the cross-sectional nature of our study does not allow us to identify whether most youths are initiating smoking with conventional cigarettes and then moving on to (usually dual use of) e-cigarettes or vice versa...".

The introduction and proliferation of filtered cigarettes occurred mostly in the decades preceding and following the 1964 Surgeon General's report and was mostly complete by 1974. Further reductions in tar yield occurred through other mechanisms, as by 1974, most cigarette brands were filtered.

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