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Consistent with previous research 11 , a large proportion of the participants in our study perceived e-cigarettes as less harmful than conventional cigarettes (40.6%)

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Our attitudes and understanding of tobacco smoking have changed, it seems strange to look at the colourful vintage adverts advertising cigarettes to soldiers, some even made radical health claims

The included studies varied considerably in their design, and while random-effects models were used to account for this heterogeneity, significant moderating factors such as differences in e-cigarette products, usage patterns, and population characteristics remain unexplored