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NA Both Men and Women NA Adult smokeless tobacco use prevalence in Montenegro is NA

The additional finding that health reasons were reported more frequently among youth who had attempted to quit cigarettes compared to e-cigarettes, is similarly consistent with previous studies, when comparing the reported frequencies regarding reasons to quit cigarettes 16,17 and e-cigarettes 20,23,24,26

Chronic nicotine use also leads to changes in multiple neurotransmitter systems, particularly increasing dopamine release in the reward pathway and altering nicotinic acetylcholine receptors (nAChRs)