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Cigarette smoking is an increasing public health problem in Mexico, where there is a growing group of young population beginning to smoke at early ages, even before adolescence.2 In Mexico tobacco smoking prevalence is about 20.4%, among those aged 12 to 65 (29.9% for males and 11.8% for females) which represents nearly 17 million of smokers.3 Smoking rates for adolescents are alarming high, ranging from 13% to 28% in 2006

Although population-level evidence continues to suggest a potential displacement of smoking by e-cigarette use, possibly even in diverting individuals from initiation, use of e-cigarettes by unintended subpopulations (e.g., nonsmokers) remains a high concern