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[50] According to research on alcoholism in Native American populations, "the problem of alcohol abuse is now defined as one that is both foreign to and destructive of the traditional culture" [51] Native American youth show higher rates of drinking and drug use than most other racial or ethnic groups and those that live on reservations are at the highest risk of developing alcohol related problems

For example, a 2016 study using a national sample of youth 13 to 17 years old found that they were more likely to try menthol-, candy- or fruit-flavored e-cigarettes if a friend offered, compared to tobacco- and alcohol-flavored e-cigarettes

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Interestingly enough, E-cigarettes were created to help current smokers try a better alternative to cigarettes in the name of quitting the habit

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