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Considering the growing popularity of e-cigarettes among adolescents, norms for smoking and vaping were both considered in the MECHANISMS study (Perikleous et al., 2018

The internet distribution of vapor products requires third-party age verification.10 Vending machine sales of vapor products is restricted to locations inaccessible to minors or where it is controlled by the owner.10 Quitting statistics and benefits Quitting smoking and vaping in North Carolina The CDC estimates 49.3% of daily adult smokers in North Carolina quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** North Carolinas state quit line invests $1.97 per smoker, compared to the national median of $2.37.7 North Carolina does not have a private insurance mandate provision for cessation.7 Notes and references Notes and references Updated June 2023 * The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels

States with higher cigarette distribution levels per capita of all types have higher rates of both adult and child smoking

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