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19 Tobacco + stimulants (amphetamines, cocaine, ice): increases the stimulant effects and can make smoking feel more rewarding, which can lead to smoking more

Those conditions often take decades to develop and remain elevated today despite ongoing declines in smoking among adults and teenagers

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2.2 Satisfaction and barriers 63% of ex-smokers find vaping as or more satisfying than smoking Barriers: fear of substituting one addiction for another (25%), safety concerns (20%) Those who tried vaping were also asked how satisfying they found it in comparison with smoking: Ex-smokers who currently vape : Nearly two thirds of e-cigarette users who no longer smoke find vaping more or equally satisfying compared with smoking (63%)