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The reason for these shared effects is that the respiratory and gastrointestinal epithelia have the same embryonic origin and show structural similarities (11)

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Additional protective factors include the perceived dangers and costs of vaping, parental monitoring, a mother's higher education level, strong academic aspirations, and positive teacher relationships ( Systematic reviews have identified three primary strategies for preventing tobacco and e-cigarette use in youth: school-based interventions, media campaigns, and community-based programs (61)