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Her mother, a Portuguese American, was a former high-school teacher, and her father, who was African-American, was pastor of the historic Friendship Baptist Church of Atlanta, which served as an early home to Spelman College

There have been exceptions

This could introduce reporting errors, particularly underreporting or misclassification of tobacco use

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And among middle schoolers, the growth has been even shaper: From 2018 to 2019, the percentage of e-cigarette users more than doubled, from 5 to 11 percent