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According to ISTAT data collected up to 2020, in a population sample with age over 14 years , electronic cigarette use was present in less than 2.5% (3.0% among males and 1.9% among females) with a significant increase in prevalence in the five-year period 2014-2019

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It is less likely a 21-year-old would be in the same social circles as high school or middle school students, and thus able to provide cigarettes, according to the report