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only smoking on social occasions, and never alone. The research results have been submitted for review for publication in the Journal of American College Health , whose main readership is college and university health directors

Although E-cigarette devices produce a nicotine-containing aerosol, commonly referred to as vapor, with fewer toxic constituents as compared to conventional tobacco cigarette smoke (Margham et al., 2016), research studies have reported that E-cigarette (E-CIG) vapor induces inflammation and impairs host defense and has other notable toxicological effects (Vardavas et al., 2012

Therefore, we were unable to account for any possible school changes other than by continuing to assume that children attended the school closest to their home

Acknowledging the potentially lifetime dangers associated with cigarette smoking, in addition to the likelihood of taking it up during college years, Pea-Purcell et al