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Nationally, the rate was 6.0%.2 Other tobacco product use: West Virginia Vaping rates in West Virginia In 2017, 5.7% of adults in West Virginia used e-cigarettes.3 In 2020, 8.5% of adults in West Virginia used smokeless tobacco.3 In 2019, 35.7% of high school students in West Virginia used electronic vapor products on at least one day in the past 30 days

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The authors suggest that a persons decision about whether to smoke is partly based on how they think about the risks