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If the overarching goal is to reduce the negative health effects of tobacco use and smoking, whether the result of firsthand or secondhand use, the potential stigmatizing impact of anti-tobacco ads on those who are already suffering from tobacco-related illnesses such as lung cancer cannot be ignored

In fact, 70% of young individuals are regularly shown e-cigarette advertisements and sometimes are unable to recognize them as ads (CATCH, 2020)

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Smoking initiation in youth: the roles of gender, race, socioeconomics, and developmental status