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Multiple studies have established a dose-response relationship: the more imagery young people are exposed to, the more likely they are to start smoking

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Nationally, the rate was 8.8%.2 Other tobacco product use: Massachusetts E-cigarette and smokeless tobacco use in Massachusetts In 2017, 3.3% of adults used e-cigarettes and 2.3% used smokeless tobacco.3 In 2017, 20.1% of high school students in Massachusetts used electronic vapor products on at least one day in the past 30 days