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A 2022 study showed that cigarette smoking rates among adults by state ranged from a low of 6.7% in Utah to a high of 21.0% in West Virginia

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Ochiai, T., Hayashi, Y., Ito, M., Nakata, K., Murakami, T., Morito, Y., and Fujishima, A., Chem

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The results show American Spirit smokers had a higher exposure to nicotine per cigarette smoked compared with other brands, which suggested a greater addictive potential. American Spirit ads convey the cigarettes as less harmful and non-addictive Are American Spirit Cigarette ads allowed to say they are less harmful