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In a study of 22,457 middle-aged men and women from Norfolk, United Kingdom in 1993-7, there were more current smokers in lower social classes but the proportion drinking 14 or more units of alcohol per week was greater in higher social classes, unlike the current study[23]

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The Texas Education Agency says more than 330,000 middle school and high school students, or 13% of all students in grades 6 to 12, experimented with vaping in 2018