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Young Americans who had ever used e-cigarettes had seven times higher odds of becoming smokers one year later compared with those who had never vaped

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These chemicals can cause respiratory problems, cancer, and other health problems

One of the limitations is the cross-sectional design which does not allow for causal inferences, while the most important limitation is that the convenience sampling method via social media was non-probability sampling that could lead to selection bias, and thus the results of this study cannot be generalized to the entire population of Saudi smokers