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As one example, according to a recent analysis, diet quality has improved over the past two decades for Black and White young adults (ages 18-39), while remaining the same for Mexican Americans

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In fact, over 5 million middle- and high-school students were current users of e-cigarettes in 2019 [75], and appealing flavours have been identified as the primary reason for e-cigarette consumption in 81% of young users [76]

However, length and intensity of smoking, as well as time since cessation for former smokers are also known to impact smokingrelated health risks

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