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Figure 1 Joinpoint regression plots for the prevalence+ of any tobacco use*, by age and sex, for adult participants in the US NHIS 20152023 Table 1 Unweighted number (n) of people reporting any tobacco use* and weighted prevalence (%) estimates with 95% confidence intervals, by age and sex, for participants in the US NHIS 20152023 Table 2 shows unweighted number of users, weighted prevalence (%) with 95% CIs for combustible tobacco product use, among those 18 years and by different age groups, for males and females and combined, for the years 2015 to 2023

If there were significant long-term health impacts, wed expect to see signs of those by now, especially if they were anywhere close to those of tobacco

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It includes packaging regulations, retailer margins, transportation, and compliance with health warning legislation