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It is not clear how to reconcile these apparently contradictory findings, but if they reflect true causal associations, it is possible that EC use could have opposing effects for different groups of people, possibly depending on their initial symptom severity

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Akinbami, Kit, and Simon (2013) found that exposure to secondhand smoke was associated with exacerbation of asthma symptoms in children, including sleep disturbance, activity limitations, and wheezing during exercise