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For each state and for the US as a whole, we display time trends in young adult smoking prevalence graphically from 1992 to 2019, using a piecewise linear model estimated by first-degree regression splines fitted to the aggregate prevalence for each state in each survey year.33 We allowed two changes of slope: the first at 2001/2002 (previously identified start of the prevalence decline in 1824 years4), and the second at 2010/2011 (midpoint of the ongoing decline)