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The 2004 data from the US Centers for Disease Control and Prevention (CDC) showed that among adults aged 18 and older, about 3% of people (6% of men and less than 1% of women) were current users of smokeless tobacco. But rates among young people are higher. According to the CDC's 2007 survey, more than 13% of male high school students and 2% of female high school students were using smokeless tobacco. The CDC 2006 Youth Tobacco Survey reported that, of middle school students, 4% of the boys and 1% of the girls reported using smokeless tobacco at least once in the 30 days before the survey. Teens who use smokeless tobacco are more likely to smoke later.

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