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However, some observational studies have found that avoidance of PHWLs is positively associated with subsequent quit attempts 3,31-33 or unassociated 34

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(At $1.78 per pack, New Hampshire has the lowest tobacco tax rate north of Virginia.) The studys data, from 2022, demonstrate that when states increase their cigarette taxes, smuggling rates increase, both in the form of increased purchases in neighboring states and through illicit international channels, the report concludes