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To cut down is a good thing, but really to avoid the risk of cardiovascular disease [smokers] really have to stop, said Hackshaw, adding that devices like e-cigarettes can help smokers quit

There are also support groups and quit smoking helplines, apps, and websites

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Urbanization concentrates population in metropolitan areas where exposure to global brands, modern retail environments, and social norms that favor premium consumption are more prevalent than in rural regions

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