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Cigarette smoking reached the lowest level ever recorded by the survey, with only 1.4% of students reporting current use in 2024

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Moreover, the frequency of alcohol use and potentially confounding variables such as cannabis use [12] and dietary habits [13, 14] were not taken into account, which limits the development of more practical and accurate guidelines and interventions for distinguishing high-risk adolescents from those with low to moderate risk

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IN 2015, THE AMERICAN ASSOCIATION FOR CANCER RESEARCH (AACR) and the American Society of Clinical Oncology (ASCO) issued a joint statement raising the alarm about a sudden 400% rise in middle and high school student use of electronic nicotine delivery systems (ENDS), including e-cigarettes, between 2012 and 2014 as reported by the National Youth Tobacco Survey