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