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Purists argue it detracts from authentic tobacco taste, while others see it as creative expression

This perspective is rarely emphasized in existing literature

Agenciessuch as the National Cancer Institute, American Cancer Society, and American Lung Associationprovide such programs for little or no cost

METHODS The units of analysis in this study were 180 groups or areas defined on the basis of Spains territorial division into ARs, as well as sex and age groups in the five categories mainly used to assess the health impact of tobacco consumption (1534, 3554, 5564, 6574, and 75 years), resulting 180 groups (18 ARs 2 sexes 5 age groups)