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During this stage, smoking and vaping are often perceived as symbols of maturity or independence ( Systematic reviews have identified three primary strategies for preventing tobacco and e-cigarette use in youth: school-based interventions, media campaigns, and community-based programs ( For adolescents who already smoke or vape, cessation support remains a major challenge

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Cigars, little cigars and cigarillos, as well as tobacco wrapped in a tobacco leaf, are additional forms of tobacco use