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However, future GYTS surveys are needed to follow the trends in adolescent tobacco use and understand the impact of national tobacco policies and interventions on adolescent tobacco use patterns

They note that usage is higher among young, more educated males, which contrasts with a long-established pattern of higher tobacco use among less educated populations and express concern that the emerging products have the potential to re-normalize nicotine use among a demographic group in which smoking has become less prevalent

Paper is sourced from Japan