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The prevalence was highest among women 20 to 24 at 10.7%, followed by women 15 to 19 at 8.5% and 25 to 29 at 8.2%

The FY2026 tabular places four Excludes1 notes at the F17 category level: history of tobacco dependence (Z87.891), tobacco use NOS (Z72.0), tobacco use during pregnancy/childbirth/puerperium (O99.33-), and toxic effect of nicotine (T65.2-)

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It found rapid adoption by James Buchanan Dukes American Tobacco Company, which eventually split into R.J