What they rarely consider is that there are other options, such as buying cigarettes smuggled from jurisdictions with lower levies
The West Virginia Department of Education reports that 27% of West Virginia high school students currently use electronic vapor products, and the Center for Disease Control and Prevention reports that 3.5% of middle school students currently use e-cigarettes
Sorensen , Suresh Kumar Srinivasamurthy , Vetriselvan Subramaniyan , Hani Susianti , Chandan Kumar Swain , Lukasz Szarpak , Mindy D
Equity Inequities in harms caused by tobacco use are likely the result of multiple social determinants of health, access to tobacco products, tobacco industry influence, broader tobacco control policies, and availability of cessation aids.9 , 69 Use of effective interventions recommended in this guideline, if they are accessible and delivered in a culturally safe manner, may address some but not all contributors to tobacco-related health inequities
