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Competing interests The authors wish to advise that MS was a technical writer for and MW was a member of the Tobacco Working Group of the Australian National Preventive Health Task Force and MW and KL were members of the Expert Advisory Committee on Plain Packaging that advised the Australian Department of Health on research pertaining to the plain packaging legislation

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Based on nine primary studies adjusted odds ratios, our meta-analysis calculated a three to six times higher odds of starting tobacco cigarette smoking for teenagers who had ever used e-cigarettes at baseline