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Its not a coincidence that in Tobacco Nation, a collection of states where smoking rates exceed the national average and include Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, South Carolina, Tennessee, and West Virginia, cigarettes are also much cheaper: cigarette packs in these states are, on average, 19% cheaper ($5.69) than in the rest of the U.S

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Frank Baeyens, a professor of psychology at the KU Leuven University in Belgium, who studies the effects of e-cigarette use but was not affiliated with study, told Newsweek that although he is pleased with the results of this study, he is not surprised by them

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Further future investigations including larger sample size with more emphasis on setting context are required to assess NRT effect on OST abstinence and reduction rate

Similarly, a systematic review of literature from Shandong University stated that quitting smoking was the single most effective way to reduce the risk of developing or worsening COPD