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According to data from 2023, transgender high school students had 2X the prevalence of e-cigarette use compared to their cisgender peers and 3X the prevalence of other tobacco use relative to cisgender high school students

It makes it more difficult for people to give up smoking, its less of an incentive and it pushes people back in to the company of smokers so it increases the risk of returning to cigarettes

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Nationally, the rate was 18.0%.2 In 2021, 4.6% of high school students in Colorado used chewing tobacco, snuff or dip on at least one day in the past 30 days