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Not all states have an age limit on purchase of these products, so they are being utilized by the younger generation

Resources African American People and Commercial Tobacco: Health Disparities and Ways to Advance Health Equity CDC webpage with information, data, and resources Washington State Data American Indian/Alaskan Native Adult Smoking Rate: 21% compared to 11% overall WA smoking rate (2021 BRFSS) American Indian/Alaskan Native Youth Vaping Rate - 10th grade: 11.0% compared to 7.7% overall WA 10th grade vaping rate (2023 WA Healthy Youth Survey) 43.1% of American Indian/Alaska Natives who smoke in Washington use menthol cigarettes compared to 19.6% of white people

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