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Smokeless tobacco has seen a resurgence of popularity among adolescents despite its association with oral cancer and altered cardiovascular function. This study examined age, gender, ethnicity, self-esteem, physical activity, parental smoking, a (p<.001), being male (p<.001), lower self-esteem (p<.001), and having parents who currently (p=.02) or formerly (p=.05) smoked. Hispanics reported a higher current usage rate than other ethnic groups (p<.001). White youth in the lowest socioeconomic statu [ABSTRACT FROM AUTHOR]