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When mass production of pre-rolled cigarettes arrived during the last quarter of the 19th Century, a number of anti-tobacco campaigns discovered that smoking caused stunted growth in children and was harmful to pregnant women

This information comes from the 2021 National Health Interview Survey (NHIS), which also looked at how common it is for people to use five different tobacco products: cigarettes, e-cigarettes, cigars, pipes, and smokeless tobacco

"While cigarette use continues to decline overall, which is great, this shows this is still an important public health issue and we need to continue to put resources to smoking cessation efforts for young people." Researchers warned that people using multiple products could be at even higher risk

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