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In 2020, the Center for Disease Control and Prevention reported a higher use of vapes in adults with disabilities (8%) when compared to adults without disabilities (3.9%).[18] In a study by A Senders et al, on disparities of tobacco use in adolescents in the state of Oregon USA, it was reported that 18.3% of adolescents with disability used e-cigarettes when compared to 12.3% with no disability.[19] An article published by E Emerson in 2023, reported that there was a tentative higher prevalence of e-cigarette use among female adolescents with intellectual disability at the age of 17 when compared with girls with no disability of the same age

De Len E, et al Global approaches to regulating electronic cigarettesTobacco Control 2017;26:440-445

And the metal contamination from a pod type e-cigarette may change across its lifetime, according to a 2023 study in the journal Toxics

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