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Participants were chosen to reflect diversity in academic performance, social engagement, and exposure to smoking, based on teacher input to reduce bias as recommended while researching adolescent smoking (5659)

Components of a Comprehensive State Strategy: Community-based Programs to provide resources to all communities and counties for locally-informed programs that support the most impacted communities and reduce health disparities School-based Programs for educational curricula, prevention support systems, effective intervention policies, referral systems for youth vaping cessation, and data gathering for assessments and evaluations Cessation Support for youth and adults with multiple access points to counseling and local programs

Health effects of smoking tobacco Smoking tobacco has serious negative effects on human health

The use of flavored tobacco, simple curiosity and a misunderstanding of the potential harm caused by tobacco products also were factors