how expensive is a pack of cigarettes Chart: Where Smoking Breaks the Bank (& Where It Doesn't) USA: Cigarette Prices by State

Gilbert E, Ewald A

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Societal reasons Social influence is a big piece of this puzzle, especially for young adults trying to keep up with beauty standards that glorify thinness

Ethics declarations Ethics Approval The survey protocols and all materials, including the survey questionnaires, were approved by the Research Ethics Board at the University of Waterloo, Canada (REB#20803/30570 and REB#21609/30878), Kings College London, UK (RESCM-17/182240), Cancer Council Victoria, Australia (HREC1603), University of Queensland, Australia (20160000330/HREC1603), and Medical University of South Carolina, USA (waived due to minimal risk)

Philip Morris and Dubek were first to make a move, say retail chains