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According to reports, the usage of e-cigarettes among Vietnamese youth has been rising, sparking concern among health officials, parents, and educators

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Accounting for controls, compared to those who smoked tobacco and did not use spliffs, the following were less likely to have their first joint within an hour after waking: those who smoked tobacco and used spliffs, those who never smoked tobacco and did not use spliffs, those who never smoked tobacco and used spliffs