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In 2023, 38,613 more cigarette butts were picked up by the Surfrider Foundation than in 2022 (152, 041)

However, research is just beginning and future findings will likely produce a much clearer picture of how our environment interacts with our DNA

For the first three quarters of 2020, Philip Morris saw cigarette sales drop by 10.7%, while sales of its alternative Heated Tobacco Units (which is a tobacco plug designed for heating, not for smoking) surged by 27.9% over that period

Additionally, a relatively recent product in the smokeless market is tobacco-free nicotine pouches (the main brand is ZYN, owned by Swedish Match)

We included covariates to represent sociodemographic characteristics shown to associate with smoking behavior

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