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Probst C, Vu TM, Epstein JM, Nielsen AE, Buckley C, Brennan A, Rehm J, Purshouse RC (2020) The normative underpinnings of population-level alcohol use: an individual-level simulation model

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doi:10.1093/jnci/93.23.1811

47 This suggests that a more noticeable substitution effect would occur where ENDS uptake is higher, or among smokers who already have a history of ENDS use

Nonetheless, since women from these territories still have lower COPD prevalence, it seems to suggest that cigarette smoking is more detrimental than biomass exposure in contributing to the etiology of COPD