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In recent years in HICs, brands including Vogue, Silk Cut and Virginia Slims have introduced purse packssmall lipstick sized boxes containing Superslim Light cigarettes which are half the size of regular cigarettes (figure 2).75 76 Slim cigarettes in feminised packs are increasing in LMICs.75 77 In Indonesia in 2009, the first superslim clove cigarette was introduced for women (A-Volution), which is packaged in a lipstick tube shape.78 More than 100 brands of slim and super slim cigarettes are available in the Russian Federation, some featuring packs designed by fashion designers (figures 3 and 4).79 Linkages between modernity and smoking feature prominently in tobacco advertising
Per CDC's 2019 Behavioral Risk Factor Surveillance System (explained in the article below), West Virginia had the highest rate of smoking in the country, at 23.8 %, followed by Kentucky, Louisiana, Ohio, Mississippi, Alabama, Arkansas, Tennessee, Missouri, Indiana, Oklahoma, and Michigan.
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