Adolescents and adults who suffer from mental illness are more likely to be both electronic and tobacco cigarette users (14, 4144), so these populations are disproportionately burdened with health consequences associated with both types of cigarettes
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Both are most likely the result of prolonged fetal hypoxia, which is produced by increased placental vascular resistance, decreased blood flow to the fetus, and elevated carboxyhemoglobin levels in the maternal and fetal circulatory systems [26]
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Treatment providers could also inform patients of how their drinking habits might affect their efforts to quit smoking, which could help participants to struggle less with smoking and/or drink less for better health outcomes
1 3 It is not clear whether smoking is the cause or effect of mental health conditions
