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"Every year without tobacco is a step toward lowering future dementia risk and improving overall health," he said

During that time period, while industry spending on direct advertising fell from accounting for 80% of total industry marketing expenditures for cigarettes in 1975 to less than 3% in 2019, spending on price discounts rose, accounting for 87% of all marketing expenditures for cigarettes in 2019

Nationally, the rate was 8.8%.2 Other tobacco product use: Missouri E-cigarette and smokeless tobacco use in Missouri In 2017, 5.1% of adults used e-cigarettes and 5.6% used smokeless tobacco.3 In 2017, 10.9% of high school students in Missouri used electronic vapor products on at least one day in the past 30 days