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A likely explanation for this is the effectiveness of national campaigns that have targeted denormalisation of smoking among US youth, including the Truth Initiative, which conducted US-wide campaigns across the entire study period,3740 and the FDAs Real Costs campaign, which started in 2014.23 41 42 Other tobacco control initiatives with national scope include the successful Tobacco 21 advocacy campaign for federal legislation to raise the legal age for purchase of tobacco products to 21 years43

The recent limited edition follows the iQOS Ruby edition launched in November

Countries that had no data for 2022 have been omitted

[DOI] [PubMed] [Google Scholar] 67.Farley AC, Hajek P, Lycett D, Aveyard P