29,30,31 Between the period when many participants in the 1998 cohort were children (i.e., the 1940s) to when the 2018 cohort were children (i.e., the 1960s), knowledge of the harms of smoking and government responses increased dramatically, most notably indicated by the 1964 Surgeon Generals first report on the harms of smoking
McDaniel PA, Smith EA, Malone RE (2006) Philip Morris's Project Sunrise: weakening tobacco control by working with it
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The data appears to be even worse for individual who smoke traditional cigarettes and use e-cigarettes in combination