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Californias tax increase was over 200%, and tobacco companies largely passed the increase on to their customers, said Shu-Hong Zhu, Ph.D., a professor at the Herbert Wertheim School of Public Health and Human Longevity Science at UC San Diego and lead author of the study

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Effective prevention strategies are promoting awareness about the harmful effects of tobacco use, serving programs aimed at youth that teach coping mechanisms for stress, and furnishing access to smoking cessation resources

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They also conducted an additional analysis that explored if the relationship between e-cigarette and cannabis use was different for youth that lived in a state where recreational cannabis use has been legalized for adults

Approximately 28,000 adults die of a smoking-attributable illness annually in Texas, which is more than the total deaths from AIDS, car accidents, and murder