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Studies conducted in various cities worldwide have shown that factors such as population density, land use, urban management quality, and public cleanliness are key determinants in the distribution of cigarette butt pollution 33

J., Steptoe, A., Chen, Y

Furthermore, individuals in marginalized communities are less likely to have access to cessation programs and are more likely to experience negative health outcomes related to tobacco use, including higher rates of cancer and chronic obstructive pulmonary disease [24, 33, 34]

Given that the relationship between exposure to tobacco imagery and smoking initiation is dose-dependent, these films put youth at a higher risk of initiating tobacco use

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