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Participants also noted a decline in the acceptance of cigarette gifting due to associated health risks, a notion considered unprecedented within Chinas societal norms as recently as a few decades prior: I have talked about it with my friends, we all agreed that calls for quitting smoking will gain momentum in China, look at the no-smoking signs in public places, and how people react when you smoke, it makes me feel awkward to smoke here. (Participant 1, ex-smoker) The current social atmosphere is relatively better than before

E-cigarettes remain popular among younger people while nicotine pouches that are placed between the lip and gum are now showing signs of growing in popularity, with the CDC reporting a substantial increase in nationwide sales in the US since 2016