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[17] Since 2019, the smoking age in Tennessee has been 21 under federal law

The decline in the States is in part due to aggressive anti-smoking public service campaigns that aren't as common in China, where "the belief that protective biological mechanisms specific to Asian populations make smoking less hazardous, that it is easy to quit smoking, and that tobacco use is an intrinsic and ancient part of Chinese culture" are widely accepted as true, the study reports

Related: How I successfully quit: Three ex-smokers share their stories Breaking the social smoking habit No matter how many cigarettes you smoke, quitting is the best thing you can do for your health