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For comparison, smoking rates in the United States crested in 1965 at 52 percent of males and 34 percent of females and currently hover around 15 and 13 percent, respectively

In 2019, Massachusetts was ranked 12th in the nation for inbound cigarette smuggling, but by 2022, it jumped to fourth

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The e-liquids used in vapes, as well as nicotine pouches, gums, and patches, contain nicotine but not tobacco leaf.) The problem: If you believe that nicotine causes cancer, not only are you going to be less likely to try to switch from smoking to e-cigs, youre going to be less likely to try and use nicotine gum or nicotine patches or nicotine pouches, said Jonathan Foulds, a professor at Penn State Universitys Cancer Institute