Data from the 2011 National Youth Tobacco Survey involving 18,866 middle- and high-school students showed that that 2.6% of middle schoolers and 7.7% of high schoolers reported using smokeless tobacco, mostly chewing tobacco, snuff or dip. Overall, the rate of smokeless tobacco use was 5.6%, with more boys using such products than girls. Whites and Native Americans were more likely to use smokeless tobacco than blacks, researchers wrote in the journal Pediatrics.

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