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Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 2.6% of high school students in the District of Columbia smoked cigars, cigarillos or little cigars on at least one day in the past 30 days
Perceived health risks were assessed using the mean of six items 25,26 that asked participants to indicate on a 7-point Likert scale (1 = very low risk, 7 = very high risk) their risk of developing smoking-related health conditions (i.e., lung cancer, heart disease, stroke, emphysema, respiratory infections, and other cancers) from regular use of each study cigarette
Not necessarily in practice, although Melbournes exploding black-market cigarette economy suggests otherwise, but aesthetically
Several countries have a legal and regulatory framework for e-cigarettes, and this is generally a mix of a legal framework often within the context of tobacco control legislation (as in the USA and Europe), plus product standards and legal or voluntary control over access to the products by young people