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In the absence of significant regulation of new tobacco products, the industry quickly ramped up its marketing to youth: depicting fun young people relaxing with their favorite product and harnessing social media and influencers to appeal specifically to them

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This difference in public standing means that outside strategies are likely to be the public health community's best means to achieve good tobacco policy, because the skills and resources of the voluntary health agencies tend to be amplified in public arenas while those of the tobacco industry are muted

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Cigars are especially popular among high school boys, who smoke cigars at about the same rate as cigarettes, and among African-American high school students, who smoke cigars at nearly three times the rate of cigarettes, according to the 2018 NYTS