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Among the eight states in the lowest price/expenditure group, only two states (Virginia and Michigan) had significant declines in young adult smoking and the average prevalence for states in this group declined by 7.6 percentage points, from 26.2% (95% CI 24.3% to 28.1%) to 18.6% (95% CI 16.9% to 20.3%) From 2010/2011 to 2018/2019, for the group of eight highest ranked states on price/expenditure activity, average young adult smoking prevalence declined by 7.6 percentage points, from 14.1% to 6.5% (95% CI 5.2% to 7.8%)