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The tobacco and nicotine market is diversifying. Implications for public health will depend on trends in use, including overall use, and who is using these products. This study examined differences over time (2017-2019), across countries (Canada, England, the United States (US)), and by smoking and vaping, in use of other tobacco/nicotine products and overall use. The study includes online repeat cross-sectional surveys of youth aged 16-19 years in Canada (N= 11,714), England (N= 11,17, US (N= 11,838) in 2017, 2018, and 2019. Past 30-day use of tobacco/ni
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