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Nicotine can alter brain chemistry within 10 seconds of inhaling it, creating an enhanced mood that wears off within a few hours of the last cigarette, prompting individuals to want another

Even larger declines were seen among 16- and 17-year-olds: the number of factory-made cigarettes that could be afforded each week decreased from 141 in 1999 to 51 in 2022/2023, and the number of roll-your-own tobacco cigarettes decreased from 280 to 75

Some ethnic groups were also pointed out as more likely to use, including non-Hispanic American Indian/Native Americans, multiracial, white or black adults