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The burden of DALYs rose from 256508 years to 358738 years for males, a 39.85% increase, and from 18672 years to 22819 years for females, a 22.21% increase

Still, Bonnie notes that the research does show the drinking age works to delay some drinking

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"Dual use of tobacco products is a health concern because it may result in greater exposure to toxins and worse respiratory outcomes than using either product alone," the CDC said in a newly released study on e-cigarette (or vape) use in adults in 2021