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How Double Happiness fits into the state monopoly model Chinas tobacco industry follows a state monopoly model, where the government controls both regulation and commercial activity

From 2011 to 2019, the percentage of high school students who used e-cigarettes increased from 1.5% to 27.5% and from 0.6% to 10.5% among middle schoolers

This dampened the interest of these participants because they believed that they would not be a part of the intended target audience and also felt that adding flavors to the products is a trap by the tobacco industry to make young people addicted

In fact, it is the unknown effects of these chemicals, not the nicotine itself, that make e-cigarettes so potentially dangerous