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The same rules apply for electronic cigarettes

People with HIV (PWH) are disproportionately affected by cigarette use, with an estimated 4060% prevalence rate 2-4 , which is quadruple the 11.5% rate in the general population 1

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To address this issue, the MG-CFA in the first step can be replaced with the multilevel confirmatory factor analysis (ML-CFA) using Bayesian estimation, which is more robust to small sample sizes (for details, see Zhao et al., 2025)