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As a smoker, you are putting yourself at risk of gum disease when using or smoking tobacco products

Florida, Tennessee, Texas, South Dakota, Nevada, Washington, and Wyoming, none of which impose a broad-based income tax, all impose a general sales tax at the state (and, in some instances, local) level, with combined rates that can exceed 9 percent in some jurisdictions.[14] Conversely, Oregon and Delaware have no general sales tax, but do have income taxes that produce substantial sums of revenue

Tobacco use in Virginia 2021 Cigarette use: Virginia Cigarette smoking rates in Virginia In 2020, 13.6% of adults smoked

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Individual sample data are in the Supplementary Material document