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Newer nicotine products like e-cigarettes present policymakers some nuanced questions Cigarette smoking has declined nationally due to policies and programs like increased taxes, media campaigns and smoke-free laws

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The report also found varying progress across population groups: during 2023-2024, current use of any tobacco product, e-cigarettes and multiple tobacco products all significantly declined among female students, and current use of any tobacco product, e-cigarettes, cigars, hookahs and multiple tobacco products declined among Hispanic students, said a spokesperson for the Center for Tobacco Products in an email