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Residents of this region, known as Tobacco Nation, are also more likely to report incomes below the federal poverty level (FPL), more likely to identify as non-Hispanic Black, and less likely to be exposed to tobacco control policies than residents of other US states 8

Substitution of products A 2019 study by Brac Institute of Governance and Development (BIGD) says that apart from the high tax, biri consumers switching to low-cost cigarettes might be a reason for biri consumption going down

Tobacco is a low-margin business, that results in increased theft and more work for employees, according to the spokesperson

As with all tobacco products, availability, packaging, and specifications may vary depending on regional regulations and distribution practices.