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Results Figure 1 plots average cigarette purchase rates (a) and quantities (b) by week in 2019 and 2020 among individuals who buy at least one cigarette in 2019 (24.3% of our sample)

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From that perspective, its an important piece of evidence because often people say oh, if youre gonna be fat, if you have cardiac risk, thats your lot in life. And there are genetic components to it, but this is very clear that regardless of that, this is still significantly because of tobacco and nicotine, he added

3 In 2020, 5.6% of adults in South Dakota used smokeless tobacco.3 In 2019, 23.9% of high school students in South Dakota used electronic vapor products on at least one day in the past 30 days