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Vaping, on the other hand, started back in the 1960s and has just now caught on as a major movement to help people move away from traditional cigarettes

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The rationale for studying Appalachian residence in addition to rural residence is that while the Appalachian region faces similar challenges to rural areas, it is a unique geographical area of historical independence and resilience, with health disparities in Appalachia especially pronounced in part due to its well-documented social disadvantages, history of economic exploitation, and increased environmental exposure 19