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In Minnesota, for instance, the cigarette-smoking rate among American Indians is nearly 60 percent four times that of the general population

Consistent with this view, research shows that adolescents openness to peer influence is shaped by the quality of their relationships, with higher-quality bonds predicting greater susceptibility to peers substance use behaviors (Allen et al., 2022)

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And because Black communities have less access to quitting treatments and resources, it may be even more difficult to quit