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Researchers at Harvard Medical School and Massachusetts General Hospital surveyed more than 1,600 high school students in the Boston area and found that 58% of those who had ever tried Juul or similar high-nicotine devices continued to use them, compared to just 17% of teenagers who had ever tried cigarettes

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Additionally, within a sample of pregnant women in 2017, Black women have increased odds of co-using cannabis and tobacco compared to only using tobacco

Similarly, continued smoking following SUD treatment increases the likelihood of a return-to-use (relapse)[iv], and the heaviest smokers are actually the most likely to relapse.[v] Unfortunately, many SUD treatment facilities do not offer smoking cessation as part of their programs