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But this issue has proved hard to regulate

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A survey of a large (50,000+ person) group of people that smoke across seven different countries found 40-80% of respondents in every country thought nicotine was the primary cause of tobacco-related cancer Fewer than 20% of adults who smoke in a 2021 US sample believed vaping to be less harmful than smoking Fewer than a quarter of people who smoke polled in Sweden had accurate risk perceptions about snus More than two thirds of a sample of people who smoke in France and Germany thought nicotine causes cancer and more than a third believed vaping to be as harmful or more harmful than smoking Fewer than half of Kuwaitis polled online thought vaping was less harmful than smoking These numbers have alarmed even advocates and promulgators of strict regulations