refusal skills for tobacco and alcohol strategies skit instructions by Laurie Lewis Building Refusal Skills Rack Card

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Among those aged 1824 years, any tobacco use decreased at a statistically significant APC rate of -7.6% (95% CI: -15.2 -1.9) between 2015 and 2018, but stabilized from 2018 to 2023 with an APC of 0.6% (95% CI: -2.79.4)

** Texass state quit line invests 63 cents per smoker, compared to the national average of $2.10

Research from 2020 also suggests people may sometimes use sweet-flavored e-liquids in vapes to replace sweet foods

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Smoking addiction involves complex neural pathways and reward systems in the brain