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Nationally, 27.1 percent of high school students and 7.2 percent middle school students used a tobacco product in 2018, according to the Centers for Disease Control and Prevention in a report released in February

Daily smoking was over four times higher (adjusted prevalence ratio: 4.31, 95%CI: 2.27 to 8.21) in the most deprived quintile, with daily smoking prevalence 17.4% (142,000 people) in quintile 5 compared to 4.8% (39,000 people) in quintile 1

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