In 2022, after Columbus, Ohio passed a flavored tobacco product law, the legislature passed a bill that would preempt local governments from enacting stricter tobacco laws than the state, though the bill was ultimately vetoed by the governor
However, most vapers do not smoke cigarettes, including 39% who classify themselves as former cigarette smokers (39%) and 28% who say they have never smoked cigarettes
For females, the highest levels of cigarette smoking are concentrated in Kentucky, West Virginia, Tennessee, Missouri, Oklahoma, Arkansas, and Louisiana
It can lead to lifelong addiction to nicotine, which can lead to smoking unless they are using safer nicotine delivery systems