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The leading units were Virginia Commonwealth University in the USA ( n = 108), followed by the University of Calif San Francisco in the USA ( n = 86), the University of Southern Calif in the USA ( n = 74), and the University of Oklahoma in the USA ( n = 47)

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Our diverse cohort featured a greater range of age at initiation that allowed us to more effectively examine the relationship between age at smoking initiation and cardiovascular risks, which was important not only in childhood but also in early adulthood

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The results also suggest vaping leads former cigarette smokers to return to smoking