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Much of the early history of Tobacco leaf use among Indigenous American populations was verbally passed between generations and not written down

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For some people, smoking is a way to cope with anxiety, depressive symptoms, and other manifestations of mental illnesses

This creates an urge to consume more nicotine to feel normal, which is why quitting cigarettes cold-turkey can be so difficult

Their government attributes this decision to the lower rates of teen use, despite promoting vaping as a safer alternative to combustible tobacco products and a lower legal age of purchase