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in middle school students, the reported use increased from 20 days in the last 30 days) of smokeless tobacco was most prevalent among high school students (42%) and middle school students (29.2%)

For those addicted to nicotine, giving up can be a daunting task and it is easy to feel that the damage has already been done

Additionally, while most VAPeS sub-scales demonstrated high internal consistency, the Economic and Self-Efficacy sub-scale showed a comparatively lower Cronbachs , which remains acceptable for exploratory research but warrants cautious interpretation if considered in isolation