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The FDA notes that long periods of dual use may lead to health harms similar to or in addition to cigarette use

In 2019, the year for which we have the most recent data, flavored tobacco product use was highest among non-Hispanic white youth (76.8%), compared with students of other non-Hispanic races (68.1%), Hispanics (63.1%), and non- Hispanic blacks (48.0%), though there is variability among type of tobacco product

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