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In addition, Massachusetts Youth Risk Behavior Survey data indicated that use of cigars among high schoolers across the state dropped from 14.3% in 2011 to 6.7% in 2017
Mental Health While nicotine may provide temporary relief from stress and anxiety, its long-term effects on mental health can be detrimental
doi: 10.1016/S2213-2600(17)30293-X
As retailers are taking a risk by selling products illegally, there is room for them to inflate prices significantly, and as the act of selling them at all is illegal, there is little regard for ensuring the person buying them is of legal age to use them, or that the product has been subject to full health and safety testing
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