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A recent consensus report from the National Academies of Science, Engineering, and Medicine on the Public Health Consequences of E-cigarettes 7 showed moderate evidence that e-cigarettes increase coughing, wheezing as well as asthma exacerbation in adolescents

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doi: 10.3389/fphys.2017.01119 111

and by education levels, prevalence ranged from 2.5% (higher than secondary education) to 12.9% (no formal education and primary)

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The GAD-7 assesses the frequency of symptoms experienced by the examinees in the past 2 weeks and answers are rated on a 4-point Likert scale 17,18