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There are efforts being made to initiate, particularly young people, into using those products." Overall in the U.S., the rate of regular smokers aged 18 and older is slightly higher in Black Americans (14.4%) than white Americans (13.3%)

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Luther Cobb, MD, president of the California Medical Association, told the LA Times : [I]ncreasing the age at which people can purchase tobacco from 18 to 21 will help reduce tobacco use in young people, hence reducing the number of preventable diseases