Question

covid-19 had ________ impact on youth who vaped versus those that did not.
more significant
less significant
the same
no

Explanation:

Vaping can harm respiratory health, and COVID - 19 is a respiratory - related illness. So, youth who vaped would likely have a more severe (more significant) impact from COVID - 19 compared to those who did not vape. Among the options, "more significant" fits this context.

Answer:

A. more significant