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Steps New York State has taken: Highest state cigarette tax in the nation Sales tax on e-cigarette products (one of 32 states) Prohibiting retailers from accepting discounts and coupons for tobacco products Problems that remain: Package size The Food and Drug Administration requires cigarettes to be sold in pack sizes of no less than twenty which keeps the price per pack reasonably high

Its been linked to greater nicotine dependence compared to non-menthol cigarette smoking, and greater difficulty quitting smoking among adult smokers. A 2019 study published in the American Journal of Preventive Medicine provides further detail on these trends

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