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Common across both surveys is that vaping among younger adults has plateaued over the last couple of years

Theres also the health factor

Self-inoculation in rare cases, where someone with an active oral sore touches the lesion and then transfers virus to their own eye (herpes keratitis) or to a fresh skin abrasion elsewhere on the body

Nevertheless, the ABOUT-Dependence measure has a broader conceptual coverage, especially since it captures the domain of behavioral impact, which is notably missing from Strong et al.s measure but was shown in the current findings to be an important aspect of perceived dependence