However, epidemiological studies assessing Swedish smokeless tobacco, which exposes users to nicotine without combustion products, generally have not found an increased risk of myocardial infarction or stroke among users, but suggest that nicotine might contribute to acute cardiovascular events, especially in those with underlying coronary heart disease
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Establishments are required to post signs stating that sales to underage consumers are prohibited.6,7 Underage consumers are prohibited from buying, possessing, and using vapor products, including e-cigarettes.6,7 The sale or distribution of vapor products, including free samples, to underage persons is prohibited.9 Vending machines must be inaccessible to underage persons or in line of sight of cashier.9 Quitting statistics and benefits Quitting vaping and smoking in Kentucky The CDC estimates 47.0% of daily adult smokers in Kentucky quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required Medicaid programs cover all quit medications.7** Kentuckys state quit line invests 73 cents per smoker, compared with the national average of $2.28.7 Kentucky has a private insurance mandate provision for quitting tobacco.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available

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