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doi: 10.1007/s00431-021-04116-w

Smokeless Tobacco Use in the United States Percentage of Adults Who Were Current Smokeless Tobacco Users in 2009 3.5% of all adults (aged 18 years and older) 7.0% of men 0.3% of women 1.0% of African Americans 5.7% of American Indian/Alaska Natives* 0.5% of Asian Americans 1.1% of Hispanics 4.5% of whites Percentage of High School Students who were Current Smokeless Tobacco Users in 2009 6.1% of all high school students 11.0% of males 1.5% of females 1.8% of African Americans 1.5% of Asians 4.6% of Hispanics 7.5% of whites Percentage of Middle School Students who were Current Smokeless Tobacco Users in 2009 2.6% of all middle school students 4.1% of males 1.2% of females 1.7% of African Americans 2.0% of Asians 3.4% of Hispanics 2.8% of Whites

The absolute difference in daily smoking prevalence between Mori and European/others narrowed by only 3.9% (from 23.7% to 19.8%) between 2011/12 and 2019/20

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