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The significant increase is predominantly because of increase in prevalence of current smokeless tobacco use among the boys from 14.5% in 2006 to 27.2% in 2013 and girls from 6% in 2006 to 19% in 2013

Mike Males, senior researcher for San Franciscos Center on Juvenile and Criminal Justice, has participated in and written extensively on anti-smoking efforts

Van Damme T, Colige A, Syx D, Giunta C, Lindert U, Rohrbach M, et al

All of this played a part in reducing cigarette smoking over the past 50 years

Author Contributions Conceived and designed the experiments: PLL MO XJL RGC

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