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Use of cigars/cigarillos appears to have increased through the 2000s until a peak around 2008, after which prevalence generally declined, although the most recent years suggest a possible reversal of this trend (Figure 4.2)

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Teens who use these products are more likely to have recently smoked and have higher smoking intentions in the future

Peer groups, including friends and siblings, were the primary contributors to socioeconomic inequality in e-cigarette use among adolescents

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