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Tobacco use is started and established primarily during adolescence.2,3 Nearly 9 out of 10 cigarette smokers first tried smoking by age 18, and 99% first tried smoking by age 26.1,3 Each day in the United States, more than 3,200 youth aged 18 years or younger smoke their first cigarette, and an additional 2,100 youth and young adults become daily cigarette smokers.3 Flavorings in tobacco products can make them more appealing to youth.4 In 2014, 73% of high school students and 56% of middle school students who used tobacco products in the past 30 days reported using a flavored tobacco product during that time

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Contingency management is a form of treatment that utilizes incentive and reward to reinforce healthy changes

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Alcohol: Dose and Pattern Matter Alcohols impact depends on how much and how often you drink