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After viewing all four labels, a next button appeared, and participants could proceed to answer all outcome measures (see Supplementary Table 1)

Surprisingly, this trend was reversed during the COVID-19 pandemic in many markets, including the U.S., which saw a growth of 2.3% in sales volumes in 2020 compared to 2019

"We believe states and localities should defer to this process and allow Congress the opportunity to think through this issue further before enacting different minimum-age laws." Thomas Glynn, who reviewed the report for the Institute of Medicine, called the report a "monument to good science" and a "contribution to the health of every citizen in the U.S." Glynn, a consulting professor at the Stanford Prevention Research Center at Stanford University's School of Medicine, says he was initially skeptical of the idea of raising the legal age to buy tobacco to 21

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