The other reason why the real nicotine delivery of a cigarette can vary from whats shown in lab settings is that perforated cigarette papers dont always work as intended people often cover the perforations with their fingers when smoking
In contrast, the states with the lowest rates of smoking, besides Utah, are Connecticut, California, Washington, Hawaii, Maryland, New Jersey, New York, Rhode Island, District of Columbia and Massachusetts all with fewer than 10% of adults smoking
Slower wound healing is perhaps the most well-documented effect
Editorial: Global youth e-cigarette use: prevalence, risks, and regulatory policy impacts Anita Cservenka, Joanna Jacobus, Tammy Chung Frontiers in Adolescent Medicine 9