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Sacred tobacco and American Indians, tradition and conflict American Indians have the highest smoking rates in the country: US commercialization of tobacco continues to complicate sacred use of the plant

8.2.1 Following a period of decline, smoking prevalence among adults has remained relatively stable at around one in seven since 2022 In 2024, 14% of adults were current smokers, the same level as in 2023, maintaining the overall downward trend in prevalence recorded since 2003 (28%)

Only sell cigarettes, cigarette tobacco, and roll-your-own-tobacco to customers age 21 or older

With their neat stacks of Toblerone and boxes of whiskey lying in wait, duty-free shops are a common sight in international airportsand nearly impossible to avoid