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To date, studies have found mixed results with regard to e-cigarette use and spirometric changes

A common misconception is that nicotine is the worst part of an e-cigarette, said Margeaux Marbrey, Ph.D., assistant professor in the Department of Obstetrics and Gynecology at Duke University School of Medicine

Admittedly, they are unlikely to know what you have been up to whilst on land, but it is still a risk

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However, for the same education and income level, non-smokers were consistently more likely to have adhered to guideline recommended screening, followed by e-cigarette users and finally cigarette smokers, thus demonstrating that disparities in screening based on smoking status were evident across all socioeconomic groups (Figure 1)