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Per Truth Initiatives report, 70 percent of the top, binge-watched shows included tobacco imagery (up from 64 percent in 2022) and nearly a quarter of chart-topping songs with music videos featured tobacco in their videos. Though tobacco imagery in those top-chart music videos had actually come down from a high of 30 percent, [V]ideos were viewed almost 5 billion times on YouTube as of October 2024. With that kind of reach, even a small percentage of smoking content in music videos can translate into massive exposure, and more dangerously, into influential content over young viewers

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Smoking is also a risk factor for coronary artery disease, aneurysms in the aorta (the main artery of the heart), peripheral vascular disease, and heart attacks and strokes, according to the FDA
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[18] A 2009 study of first smoking experiences of seventh-grade students found out that the most common factor leading students to smoke is cigarette advertisements

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