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Shea, J.-E

WV Adult Tobacco Use : 21.0% of adults are current smokers, compared to the national rate of 14.0% 7.7% of adults use smokeless tobacco products (chewing tobacco, snuff, or snus), which is second highest in the nation (3.4%) 9.3% off adults currently use electronic vapor products (such as e-cigarettes, vapes/vape pens, etc.), compared to the national rate of 7.7% WV Youth Tobacco Use : 6.2% of high school students reported currently using smokeless tobacco products 9.7% of high school students reported currently smoking cigarettes or cigars 48.8% of high school students reported ever using an electronic vapor product 27.0% of high school students reported currently using electronic vapor products 13.0% of high school students reported daily use of electronic vapor products 28.5% of high school students reported currently smoking cigarettes or cigars or using smokeless tobacco or electronic vapor products Among high school students who reported using any tobacco products during the 12 months before, 55.6% reported they tried to quit using all tobacco products in the past year Among high school students who reported past month use of electronic vapor products, 3.4% reported buying them themselves in a convenience store, supermarket, discount store, or gas station Health Outcomes: WV had the second-highest rate of tobacco-associated cancers in the U.S

Further, tobacco smoke and accumulation of oxidative stress also show a negative impact on skin resulting in aging-related skin pigmentation

These kinks make DNA difficult to copy, which can cause a mutation