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The researchers categorized participants into 6 groups according to their smoking history and habit change to e-cigarette use as follows: People who quit smoking conventional cigarettes at least 5 years prior without e-cigarette use People who quit smoking conventional cigarettes less than 5 years prior without e-cigarette use People who currently smoke conventional cigarettes without e-cigarette use People who quit smoking conventional cigarettes at least 5 years prior with e-cigarette use People who quit smoking conventional cigarettes less than 5 years prior with e-cigarette use People who currently smoke conventional cigarettes with e-cigarette use The researchers assessed the risk of lung cancer and lung cancer-specific death using Cox proportional hazards models with adjustments for potential confounders

"Overall, e-cigarettes are likely less harmful than smoking cigarettes to the degree that they substitute cigarette smoking," El Shahawy, assistant professor in the Department of Population Health at NYU Langone, wrote in an email to Insider

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To reverse the e-cigarette epidemic, policy makers must prohibit flavored e-cigarettes and cannot be limited by what the tobacco industry says is acceptable, Myers statement said