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Thus, while measures of toxicant exposure are reduced among individuals who use both cigarettes and vapes compared to those who smoke exclusively, cigarette consumption remains the primary driver of toxicant exposure, with high exposures among those who continue to smoke daily 13
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However, for the same education and income level, non-smokers were consistently more likely to have adhered to guideline recommended screening, followed by e-cigarette users and finally cigarette smokers, thus demonstrating that disparities in screening based on smoking status were evident across all socioeconomic groups (Figure 1)
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