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cross-sectional

"Nicotine initiation products in Germany: Findings from a representative survey of individuals aged 14 years and older who had ever used nicotine-containing products".

Vur B, Kotz D, Klosterhalfen S · Addictive behaviors, 2026

combustiblee-cigarettenicotine-pouchsnus

A German survey of over 1,100 people found that while traditional cigarettes remain the primary way most people start using nicotine (84%), younger and better-educated individuals are increasingly beginning with alternative products like e-cigarettes and heated tobacco devices.

Relevance to India: None stated.

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