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Smoking also increases your risk of developing atrial fibrillation (afib), an irregular heartbeat that can cause chest pain and lead to stroke

However, state taxes vary considerably, and some states have closed this gap with their own regulations

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Urbanization in particular tends to expand the density and reach of retail outlets, convenience stores, and informal vendors through which cigarettes are sold, making product more accessible to a broader swath of the population than in more dispersed rural settings

Applicability of findings Our 1994 report of the 40 year findings concluded that Results from the first 20 years of this study, and of other studies at that time [the 1970s], substantially underestimated the hazards of long term use of tobacco