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Mendez and Warner were optimistic that smoking prevalence would continue to fall on course, as it had in the early 2000s, but they concluded that major reductions, such as those presented in the Healthy People 2010 target, were unrealistic (Mendez and Warner 2004)

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Parents can help by fostering open communication, educating teens about the risks of smoking and vaping, setting clear expectations, and being role models by not smoking themselves

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Tobacco Use by Geographic Region Tobacco use, including cigarettes, smokeless tobacco, and cigars, varies by geographic region within the United States