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Discussion In this nationally representative study of tobacco product use, cross-sectional analyses indicated that current exclusive cigarette use was associated with worse HRQoL compared to 5-year cigarette cessation, emphasizing negative physical and mental effects of continued cigarette exposure among people with COPD

Current data does not support substituting e-cigarettes for cigarettes as a better option for people with asthma who smoke ( Clapp & Jaspers 2017 )

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