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For consumers who smoke regularly the carton purchase offers advantages like cost savings & supply security which is why bulk purchasing behavior tends to increase when cigarette prices rise significantly via taxation

This regression-based difference-in-differences design controlled for state fixed effects to ensure no bias would be introduced by time-invariant state-level characteristics that could increase the propensity to implement smoke-free legislation and affect infant and child health, as well as year fixed effects to account for bias from national trends in infant and child health

General wear throughout, some discoloration to silver plate

Photo Credit: Oleggg / Shutterstock Americas smoking problem is getting better but its costs remain incredibly high