To establish trustworthiness of the qualitative data, findings were compared and conflicting interpretations were resolved through dialogue
By promoting positive family interactions and addressing risk factors, these programs contribute to reducing the likelihood of substance abuse
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Enforcement was strengthened in 2024 with the federal Tobacco 21 law, which requires retailers to verify the age of anyone under 30 by checking a driver's license or other valid ID

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Author contributions GA led the conceptualization of the paper