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While 3.1 percent of non-rural youth (ages 11-17) use smokeless tobacco, 7.4 percent of rural youth use the products (a 138.7 percent increase)

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It is politically sensitive and could draw criticism

Signs of a nicotine addiction can include: Craving nicotine Unable to stop smoking or vaping Developing a tolerance (needing to use more to feel the same effects) There is free help and resources available by phone, online, or mail from the CDC