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In settings where smoking has historically been common and nicotine breaks are socially normalised, vaping may be added as a supplemental source of nicotine, particularly where smoke free rules restrict combustible use, offering a plausible pathway to dual use without implying a direct causal relationship [83]

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Social Costs: Beyond the individual financial burdens, smoking imposes significant social costs on society

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The aim of this research was to reconstruct the historical patterns of smoke-free policy coverage in the U.S