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States with a high prevalence of smoking among adults also have high rates of smokers who made no attempt to change their behavior in the last year (Burns and Warner 2003), suggesting that environment plays a role in sustaining smoking behavior or promoting cessation efforts

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SALE OR PROVISION OF CIGARETTES, E-CIGARETTES OR TOBACCO PRODUCTS TO A PERSON UNDER 21 YEARS OF AGE IS PROHIBITED BY LAW

doi:10.1161/STROKEAHA.107.496752 8

Alternative product adoption: The high cost of traditional cigarettes has accelerated adoption of alternative nicotine products, including e-cigarettes, heated tobacco products, and nicotine replacement therapies

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