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Menthol cigarettes are also marketed toward specific social and demographic groups, including African Americans, young people and women, and are perceived by consumers to signal social group belonging. About 80% of African American smokers smoke menthol cigarettes, Cohn notes, suggesting that peer use may also influence on why menthol cigarette smoking is higher among African Americans

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Moreover 16.5% of American high school students, as reported by the 2023 National Youth Tobacco Survey, use tobacco products of any kind, including e-cigarettes