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Between 1998 and 2020, cigarette smoking declined by over 75% among both US adolescent3 and young adult age groups.4 E-cigarette use rose rapidly among adolescents between 2017 and 2019, but this was independent of the decrease in cigarette smoking.4 Prior studies have shown that state-level interventions on cigarette price and tobacco control expenditures were associated with decreases in smoking among US adolescents ages 1217 years.5 6 However, the recent rapid decline in prevalence also suggests the possibility of a nationwide effect where cigarette smoking is no longer an acceptable or normative behaviour among US young people