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is laudable and historic, but its critical that we address persistent disparities among certain racial, economic, geographic, and LGBTQ+ communities, Kathy Crosby, CEO and president of the tobacco control nonprofit Truth Initiative, said in a statement

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The absence of paper combustion and chemical additives makes pipe smoke noticeably cooler and less harsh on the airways

Second, the BRFSS relies on self-reported smoking status and is therefore subject to self-reporting bias, which may vary by sex and by age

Though young adults seem to be ditching cigarettes, the study does not account for shifting trends in marijuana use or vaping