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Finally, the volatile and frequently high rate of initiation of smoking among teens poses a continuing obstacle to societys long-term goal of reducing the public health burden of tobacco use

The American Lung Association's analysis of the Center for Disease Control reported data which revealed that cigarette smoking had experienced a downward trend over the last 55 years, from 42.4% among adults in 1965 to 13.7% in 2018, and from 27.5% among youths in 1991, to 8.8% in 2017 [4,5]

Graphic 8: Estimated Tax-Induced Smuggling in Michigan, New Jersey and California as a Percentage of Total Cigarette Consumption (Legal and Illegal) Notes: Estimates computed based on the regression results presented in columns 3 and 4 of Table 3 of Appendix A

"CDC - Trends in Current Cigarette Smoking - Smoking & Tobacco Use"

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