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That would be too difficult to enforce

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Together, these findings highlight an urgent need for gender-sensitive, culturally appropriate interventions such as enforcement of comprehensive bans on tobacco marketing, women-focused cessation services, integration of cessation messaging into maternal and primary healthcare platforms, and community-based outreach to effectively address the sociocultural drivers of tobacco use among women in the Northeastern states

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Selling illegally imported cigarettes could yield high profits for underground vendors due to the low cost of cigarettes when purchased overseas and the evasion of taxes owed upon import, Bell added