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Jordan Goodman, Tobacco in History and Culture (2 vol 2005) p

74 In addition, products that are intended to treat tobacco dependence are not considered MRTPs if they have been approved as a drug or device

Adult tobacco smoking also comprises a massive proportion of all healthcare spending on inpatient care, non-inpatient care, and prescription medications

Tobacco companies heavily target young adults ages 18 to 21 through a variety of marketing activitiessuch as music and sporting events, bar promotions, college marketing programs, college scholarships, and partiesbecause they know it is a critical time period for solidifying a tobacco addiction

This means the results may be less reliable, as the tobacco industry wants to promote their new products and has a long history of distorting their harm

Previous to this study, researchers had only dated tobacco use in North America to 3,300 years ago