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Our subgroup analyses, which classified participants by smoking history, suggested that dual users had the highest association (OR = 3.13, 95% CI: 2.014.87), followed by current e-cigarette users with a smoking history (OR = 2.17, 95% CI: 1.413.35) and exclusive e-cigarette users (OR = 2.09, 95% CI: 1.463.00)

Strong branding and targeted marketing campaigns are vital for maintaining consumer loyalty

The DFO Team challenges you to abstain from smoking, educate those around you about the impacts of cigarette waste, and advocate for more proactive and preventative mitigation of marine debris

Similar to COVID-19, tobacco use and secondhand smoke exposure disproportionately impacts certain communities, including communities of color, LGBTQ+ Americans and persons of lower income

There is also a growing perception that vaping and electronic cigarettes are fashionable