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Nicotine has a stimulating effect, but it also has an overall mood-modulating effect, says Amanda Holm, M.P.H., tobacco treatment manager at Henry Ford Health

This decal alerts customers to Please Have ID Ready for tobacco, vapor and alcohol purchases

More than 40% of store visits by 18- to 20-year-olds in New Jersey resulted in purchase of cigarettes, cigars and other tobacco products, the study found

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Socioeconomic status (SES) appears to play a role as well: studies generally find that adolescents from more socioeconomically disadvantaged backgrounds are more likely to vape than those from higher-SES families (28)