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Nationally, adult smokeless tobacco use prevalence was 3.4%.1 In 2021, approximately 15% of 12th graders in Washington used vapor products on at least one day in the past 30 days.2 In 2021, approximately 1% of 12th graders used chewing tobacco, snuff or dip on at least one day in the past 30 days.2 Economics of tobacco use and tobacco control Cigarette tax in Washington Washington received $510 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $6.6 million in state funds to tobacco prevention in fiscal year 2023, 10.3% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.26 billion per year.4 Smoking-caused losses in productivity: $6.1 billion per year.5 Washington tobacco laws Washington tobacco laws Tobacco taxes Washington is ranked 11th in the U.S

While our study highlights the higher relative risks observed in women, it is essential to address the significantly higher proportions of high-risk drinking and smoking among men

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JMIR Public Health and Surveillance