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Ramrez states that these products are still promoted via other channels: Up to nine out of 10 boys and girls are exposed to digital smoke through explicit and covert advertising on social media and video-on-demand platforms, which doubles the chances of smoking conventional tobacco, she says

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Moreover, 2005 data from a separate source, the Centers for Disease Control and Preventions Youth Behavior Risk Surveillance System (YRBSS), show a slight rise in the prevalence of use among high school youth (combining grades 9 through 12) between 2003 and 2005, from 21.9 to 23 percent (CDC 2006a)

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This source is documented in more detail in this background article which provides information on the scope of the data, its legal basis, the methodology employed, as well as related concepts and definitions