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Additionally, as a critical and pre-specified subgroup analysis, we focus on exclusive e-cigarette usersindividuals who currently use e-cigarettes but have never smoked traditional cigarettesto minimize the confounding effects of smoking history and to preliminarily explore the potential independent association

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There is a need to provide appropriate support and bolster confidence, especially for younger, female, and non-clinical hospital staff, in strategies of initiating conversations about tobacco control with patients, which could be generalized from other topics such as palliative care and learn to target patient concern based on their objections 26,27