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Results show a significant decline in smoking-attributable PUD mortality burden over the past 30 years, albeit with notable disparities across regions and populations

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These findings also emphasize the importance of increased public health action in both the community (such as advocating for and enforcing flavor bans [78] as a whole as well as in schools suggest the need for robust anti-tobacco media campaigns and more stringent marketing restrictions to protect youth, including interventions and programs that address multiple outcomes (e.g., susceptibility, harm perceptions, countering industry marketing, refusal skills) from varying levels of influence (e.g., policy, media, school, home) that may prevent and reduce vaping among youth [79,80,81,82,83]