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In general, we recommend stabilization of ADHD symptoms as the first priority of treatment since smoking cessation over the background of untreated ADHD could lead to greater relapse to smoking

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Aotearoa New Zealand had a vaping prevalence of 1.4% in 2015/2016[xxiii] - this was in contrast to the UK, which in 2016 had a legal vape market and a vaping prevalence four times that of Aotearoa New Zealand at 5.7%.[xxiv] Following legalisation of nicotine-containing vaping products in 2018, Aotearoa New Zealand experienced a rapid uptake of vaping, to the extent that vaping product use has, as of 2022, overtaken tobacco smoking in Aotearoa New Zealand, according to the latest data from the New Zealand Health Survey.[xxv] Shortly after the legalisation of nicotine vaping products in Aotearoa New Zealand, a 2019 survey of current and former smokers in 14 countries,[xxvi] including the USA, Australia and China, found that Aotearoa New Zealand had the second highest prevalence of vaping among ex-and-current- smokers, second only to the United Kingdom