Nearly 81% of youth ages 12 to 17 who had ever used a tobacco product reported that the first product they used was flavored, including: 88.7% of ever hookah users, 81.2% of ever snus pouch users, 81.0% of ever e-cigarette users, 68.9% of ever smokeless tobacco users, 65.4% of ever users of any cigar type, and 50.1% of ever cigarette smokers
Bush administration when Congress enacted the Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act, whose Synar Amendment forced states to create their own laws to have a minimum age of 18 to purchase tobacco or else lose funding from the Substance Abuse and Mental Health Services Administration
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2024 Mar 20;4(3):e0002311