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Non-Hispanic American Indian or Alaska Native students experienced an increase in tobacco use, going from 8.0% in 2023 to 16.3% in 2024, according to the 2024 NYTS

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115: 2621-2627 [DOI] [PubMed] [Google Scholar] 28).Barbieri SS, Zacchi E, Amadio P, Gianellini S, Mussoni L, Weksler BB, Tremoli E: Cytokines present in smokers serum interact with smoke components to enhance endothelial dysfunction

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US Food and Drug Administration, Regulatory Impact Analyses (RIA), accessed July 25, 2025, and US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Guidelines for Regulatory Impact Analysis, January 12, 2017, Abigail Friedman et al., E-Cigarette Flavor Restrictions Effects on Tobacco Product Sales , January 29, 2024, US Food and Drug Administration, Premarket Tobacco Product Applications and Recordkeeping Requirements, Federal Register 86, no