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doi: 10.1080/15592294.2017.1403691

Neither did the GAO, which concluded: The shift can be mostly attributed to consumers switching from using roll-your-own tobacco to pipe tobacco in roll-your-own cigarettes, rather than to a sudden increase in pipe smoking. In fact, the GAO noted, manufacturers of roll-your-own tobacco products have simply re-branded their products as pipe tobacco by changing the packaging and labeling, while making minimal, if any, changes in the product

In addition, data from the "National Death Index" was used to monitor the specific causes of death of the participants, until December 31, 2019

Jacksons research in England found that from 2014 to 2025, the amount of smokers who think vaping is less harmful than smoking fell from 44.4% to 18.7%