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Recent growth acceleration is attributable to multiple factors converging: the rise of flavored tobacco alternatives, aggressive marketing by tobacco companies, and technological advancements enabling safer, more reliable flavor capsules

METHODS Data source, sample selection and outcome This cross-sectional study utilized publicly available, de-identified data from the 2022 Behavioral Risk Factor Surveillance System (BRFSS), a nationally representative survey administered by the Centers for Disease Control and Prevention (CDC) 12

Death rates by ethnicity: Men Blacks -- 35 percent Whites -- 30 percent Hispanics -- 27 percent Women Whites -- 21 percent Blacks -- 19 percent Hispanics -- 12 percent There were 167,000 cancer deaths related to smoking in 2014

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