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The campaign is distributed on social and digital media ( The Down and Dirty campaign ( is a website and series of videos on Youtube ( targeting rural teens with help and values messaging to help them avoid tobacco and vaping products

Second, a disturbing increase in later-onset, less frequent smoking by 18- to 25-year-olds could portend a growing cohort of new smokers who may be overlooked by traditional prevention programs for teens and by traditional cessation programs developed for older smokers

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