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In 2009 the U.S

Youth cigarette smoking, including menthol cigarettes, has continued a steady decline since 2017, Dr

Key secondary sources include FDA Pre-Market Tobacco Application (PMTA) authorization database (2020-2025), CDC National Youth Tobacco Survey (NYTS) 2019-2023, ASH UK Annual E-Cigarette Use Survey (2024), WHO Report on the Global Tobacco Epidemic (2023), Global State of Tobacco Harm Reduction reports, Euromonitor International tobacco and vapor data, Statista e-cigarette revenue database, and trade publications including Vaping Post, and Tobacco Reporter

Ethics approval for the study was obtained from the ALSPAC Ethics and Law Committee and the Local Research Ethics Committees

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