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METHODS Data source This study uses publicly available youth and adult data from Wave 2 (20142015), Wave 3 (20152016), Wave 4 (20162017), and Wave 5 (20182019) of the PATH Study 25 , a large, US nationally representative, cohort study designed to collect information about use of various tobacco products including cigarettes and ENDS, tobacco dependence, cessation, perceptions of risk and harm, overall physical and mental health, peer and family influences, other substance use, and demographic information 25,26

These details transform packaging into an extension of the product rather than simple protection