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Tobacco use in the American Indian/Alaska Native community American Indians and Alaska Natives use tobacco more than any other racial or ethnic group in the United States

In a 2011 crackdown, state authorities enforced a regulation capping the supply of untaxed cigarettes legally shipped to reservations

Trading Standards, a consumer protection unit funded by local governments, is responsible for enforcing age-of-sale restrictions on tobacco, vapes, and alcoholbut its budget was slashed by 39% [PDF] in the 2010s

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This includes things like plain packaging, restrictions on where you can smoke, and, of course, those ever-increasing taxes we just talked about

If more states boosted the minimum age for buying cigarettes, it could delay the age of first tobacco experimentation, reducing the likelihood of youth transition to regular use and increasing the likelihood of cessation if they become regular users, the CDC researchers wrote