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For instance, tobacco use is higher among non-Hispanic American Indian/Alaska Native adults compared with other racial or ethnic groups, among residents of the Midwest or southern United States compared with the rest of the country, among individuals with lower levels of household income, among adults who were uninsured, and among individuals with disabilities or serious psychological distress (116)

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Nationally, the rate was 8.8%.2 Other tobacco product use: Kentucky E-cigarette and smokeless tobacco use in Kentucky In 2017, 6.1% of adults used e-cigarettes and 7.6% used smokeless tobacco.3 In 2017, 14.1% of high school students in Kentucky used electronic vapor products on at least one day in the past 30 days