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Steps New York State has taken: Prohibiting the sale of flavored e-cigs, including menthol, as of May 18, 2020 Problems that remain: Menthol Cigarettes and Other Flavored Tobacco Products African American adults and youth are more likely to smoke cigars, cigarillos, little cigars and menthol cigarettes than youth and adults in other racial/ethnic groups

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In addition to the unknown health effects, early evidence suggests that vaping might serve as an introductory product for preteens and teens who then go on to use other nicotine products, including cigarettes, which are known to cause disease and premature death

Children are most vulnerable given their higher respiratory rates and developing immune systems

Consistent with this, we saw an increase in the proportion who mainly or exclusively smoked hand-rolled cigarettes across the study period within each of the other subgroups of interest (Figure S6)

Utah Department of Health and Human Services Integrated Health