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People who use smokeless tobacco products have a strongly increased risk of oral cancer, such as mouth and throat cancers, particularly for the tissues that come in contact with the tobacco

Public health messaging efforts should consider targeting greater acculturated younger Hispanic and Latino individuals and creating bilingual messaging efforts that may be more appropriate for less acculturated, older people. April-Sanders said future research needs to examine why non-tobacco users are turning to e-cigarettes and monitor ENDS use.

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