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"While our comprehensive approach to addressing tobacco use in Hawaii has led to quantifiable decreases in deaths due to smoking, an increase in targeted marketing to our youth and young adults and new technology in the form of e-cigarettes requires our state to take additional measures to protect our young people," Virginia Pressler, director of the Hawaii State Department of Health, said in a statement

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This was derived from each participants highest reported occupation and classified into one of six categories ranging from I (professional occupations) to V (unskilled occupations), with III divided into IIIN (non-manual) and IIIM (manual)