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Rates of smoking continue to decline for all age groups.While less harmful than smoking, vaping still carries risks for nicotine addiction

[30] A summit in 2018 called "Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians: Moving the Needle on Quality of Health Care in Indian Country" gathered tribal leaders, IHS administrators, and medical school leaders to find barriers and come up with solutions to low Native American provider rates

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There was very little missing data on any variable ( 0.05), with the exception of significant differences across modalities for non-Hispanic Other males

Starting healthy habits early is best