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Cannabis (smoking or vaping) is also a risk

This image is a color-coded map of the United States that displays how smoking rates vary across the states

Even though consumption remains significant among the younger population and increases as people get older, its still lower than it would be if you lowered the age to 18. A 2014 review of the research published in the Journal of Studies on Alcohol and Drugs bore this out: Although many young people disobey the drinking age, the evidence overwhelmingly suggests that it has depressed drinking and saved lives

The new county ordinance will prohibit retailers in unincorporated areas of Santa Clara County from selling or distributing tobacco products and electronic smoking devices to anyone under age 21

North America Tobacco Market Size and Forecast, by Product Type (2025-2032) 8.2.1