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During the 1970s, smoking began to decline in most high-income countries, but the decline has been much greater in the United States than in most of Europe, particularly among men (Cutler and Glaeser, 2006)

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The American Cancer Society Endorses Vaping Over Smoking A new statement on the ACS website claims that some smokers, despite firm clinician advice, will not attempt to quit smoking cigarettes and will not use FDA approved cessation medications. Therefore, the statement continues, these individuals should be encouraged to switch to the least harmful form of tobacco product possible. Additionally, the ACS strongly recommends that every effort be made to prevent the initiation of e-cigarettes by youth. The group also encourages the FDA to assess whether e-cigarettes help to reduce tobacco-related morbidity and mortality, and the impact of marketing of e-cigarettes on consumer perceptions and behavior. The ACS notes that more data is needed about the long term health effects of vaping

Diagnostic and statistical manual of mental disorders: DSM 5