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The study concludes that outcomes are heavily influenced by personal environment, including household smoking behavior and addiction levels, suggesting that cessation success varies widely even in markets with strict tobacco control frameworks

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6 min read Cigarette Smuggling Continues to Cost States Billions in Forgone Excise Tax Revenue Cigarette tax avoidance costs states billions in forgone tax revenue and necessitates additional spending on enforcement of the ineffective policies

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Parsons , PhD, MPH , can be reached at University of Minnesota, 420 Delaware St