Young adults and youth may have increased cigarette use
Research shows the campaign led to millions of attempts to stop smoking and more than 1 million long-term quits
However, declines in cigarette smoking slowed in states with flavor bans relative to other states
Approval marks first time the agency has approved sale of a nicotine pouch
Proposal suggests lowering nicotine levels in cigarettes and other tobacco products to minimally or nonaddictive levels
Most dual users either continue dual use or transition to exclusive conventional cigarette use
Those who switch to dual use or who maintain, increase smoking intensity have reduced rate of symptom resolution
Higher levels of smoking also tied to pain-related work limitations and worse self-reported health, mental health