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Impact of tobacco control policies on adolescent smokeless tobacco and cigar use: a difference-in-differences approach.

BMC Public Health · 2018 · PMC5813367 · PMID 29444658

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an increasing trendno p-value reported
After controlling for socio-demographics and state fixed effects, there was an increasing trend in smokeless tobacco use and no change in cigar use over the study period.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.