In one study of youth, Kandel and colleagues (1997) examined the cross-sectional relationship between cigarette use and the use of other substances as well as with psychiatric disorders and found that daily cigarette smoking was associated with a 70% increase in the likelihood of diagnoses of anxiety and of disorders of mood and disruptive behavior
High tobacco retail density is associated with high tobacco sales and marketing (CDC, 2024) high tobacco use (Lee et al., 2022), lower tobacco cessation success (Chaitan et al., 2025), and increased youth vape use in areas of high walkability (Harlow et al., 2025)
A great way to support your community is to share your experiences, and how you learned to manage them, with members of the Straight Edge community
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But nicotine use remains mostly steady
