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While the message is reinforced in schools, public health campaigns, hospitals, and just about everywhere, its still important to continue to remind people: Cigarettes kill

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Participants were surveyed annually four times from 2011 to 2015 and a cross-lagged structural equation model was used to examine the average estimate of association of e-cigarette use with combustible tobacco cigarette use at the subsequent wave for all prospective paths (i.e., Wave 1 Wave 2, Wave 2 Wave 3, Wave 3 Wave 4)