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While smoking rates among high schoolers have dropped significantly, smokeless tobacco use hasnt seen the same dramatic decline

These connections were highlighted in the Truth Initiative report Colliding Crises: Youth Mental Health and Nicotine Use. We explore one of those connections nicotine and stress in more detail here and dispel some of the myths about nicotine as a stress-reliever

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Tax increases, clean indoor air policies, smoke free workplaces, cessation interventions, and anti-tobacco industry media campaigns all have certainly reduced harm in California, but the term harm reduction does not usually refer to these kinds of efforts