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While increases in smoke-free policies and awareness of environmental tobacco smoke (ETS) hazards have contributed to a substantial reduction in exposure in ETS in recent years, some children continue to experience extremely high levels of exposure. ETS is typically measured by the levels of cotinine, a nicotine metabolite, in childrens blood or saliva

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2) being targeted with tobacco industry marketing[7, 8] and 3) exploring identities and seeking out new experiences, particularly related to substance use.[9] Since 2004, data finds that smoking initiation is highest among young adults age 1821 and has not declined at the same rate as youth in recent years.[10] Recognizing this fact, states have increasingly passed Tobacco 21 laws restricting tobacco sales to those aged 21 and over[11] and recent initiatives have focused on similar legislation at the federal level.[12] Given these trends, it is especially important to understand and monitor this 1821 year old age group separate from other age groups