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According to the Substance Abuse and Mental Health Services Administration (SAMHSA), 2024 report, Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health, Cigarettes are the most prevalent form of nicotine use with 38.7M past month users, followed by nicotine vaping at 26.6M users, contributing to the total of 64.4 million people (22.7% of the population) who used tobacco products or vaped nicotine