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In 2019, the year for which we have the most recent data, flavored tobacco product use was highest among non-Hispanic white youth (76.8%), compared with students of other non-Hispanic races (68.1%), Hispanics (63.1%), and non- Hispanic blacks (48.0%), though there is variability among type of tobacco product

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However, we a priori determined to exclude records reporting solely the availability of cigarettes

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We know that Missouri is not a one size fits all state, says Maura Gray, Missouri Government Relations Director for the American Heart Association