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Hughes et al., 1985

We have a drinking age of 21 because, even though you are considered an adult at age 18, most people still have a lot of growing up to do and lack the maturity to make some decisions which could alter their lives forever. An estimated 480,000 Americans die each year from smoking cigarettes

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We called these states with very high smoking prevalence Tobacco Nation. These states not only have a high prevalence of tobacco use, they also tend to have worse indicators of health, socioeconomic status, and coverage by tobacco policies

Symptoms include insomnia, hunger, fatigue, irritability, dry throat, and chest tightness as the body adjusts to the change in nicotine and tobacco consumption