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Furthermore, cannabinoids like THC and CBD have shown both tumor-promoting and antineoplastic properties in experimental models, yet the chronic inhalation of smoke may counteract any potential protective effects by fostering a mutagenic environment (9,88)

Nationally, e-cigarette use prevalence among high school students was 18%.2 Economics of tobacco use and tobacco control Tobacco taxes in Hawaii Hawaii received $138.2 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4 Of this, the state allocated $7.6 million in state funds to tobacco prevention in fiscal year 2022, 55.3% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-related health care costs: $611 million per year4 Smoking-related losses in productivity: $1.1 billion per year5 Hawaii tobacco laws Hawaii tobacco laws Tobacco taxes Hawaii is ranked 8th in the U.S

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Twenty-seven out of thirty participants randomized to the PN condition attended the week 12 follow-up visit and were invited to complete the interview