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This is also important because some e-cigarettes are purchased from local vape stores that may not carry liability insurance

Other risk factors include a family history of HS, higher body weight, and other inflammatory conditions

Early studies have shown a correlation between the use of e-cigarettes and lung injury [12, 106], with e-cigarette users showing increased respiratory symptoms, an elevated risk of developing airway disease and a decline in lung function [107]

Finally, we included digital exposure variables, such as frequency of encountering tobacco- or vaping-related content on social media, and perceived social acceptability of vaping and smoking, assessed using composite indicators