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The success rate is 5% versus 24% among those enrolled in the Oklahoma Tobacco Helplines single call program, and 41% among those receiving the Helplines most intensive service, also known as All Access. All Access service includes multiple coaching calls combined with nicotine replacement therapy

In Dixie County, 13.5% of youth ages 11-17 are regular smokeless tobacco users

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These findings align with broader evidence on , where nicotine exposure is treated as a modifiable risk factor rather than a primary cause