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Balbach Table of Contents Preface 1

And if the tobacco industry has its way, this number will only go up

Submitted by Sara Cleereman BSN, RN Studies have shown that the following factors greatly increase your childs risk of smoking cigarettes or using chewing tobacco: Having a parent or caregiver that smokes cigarettes or chews tobacco Lack of support or involvement from parents Missing school and failing grades Lacking college plans Spending too much time alone without supervision Having parents who are not college educated Being white, multi-ethnic, American-Indian, or Alaska Native Mental health issues: depression, anxiety, stress and low self-esteem Having friends that smoke cigarettes or chew tobacco Male high school athletes are more likely to use chewing tobacco than non-athletes Living below the poverty level Consuming alcohol or other drugs The key to preventing todays youth from becoming addicted to commercial tobacco products is early education, parental supervision