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Nicotine (tobacco) Nicotine is the most common substance to become addicted to in the United States, with approximately 50 million Americans addicted to some form of tobacco product

Such tactics are not surprising young people with large social networks have been the backbone of recent tobacco campaigns like JUUL

Beyond the substance itself, individual factors include genetic predisposition (approximately 40 to 60 percent of addiction risk is heritable), age of first use (earlier onset dramatically increases risk), co-occurring mental health conditions, history of trauma, and the social and environmental context of use

A Report of the Surgeon General

The Health Consequences of Smoking: 50 Years of Progress: A Report of the Surgeon General (2014) online Gardner, Martha N