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Compared to adolescents who had not used any tobacco products, users of e-cigarettes or CTPs displayed a potentially heightened risk of depression and anxiety, whilst those who used both CTPs and e-cigarettes had the highest odds of reporting mental health struggles The authors conclude that while causality cannot be determined, the results from this study showed that all forms of tobacco use were significantly associated with mental health issues

Such symptoms include an inability to concentrate, insomnia, depression and lack of appetite, according to the NCI

Tobacco use among middle and high school students United States, 2011-2015

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