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Government regulations and cultural factors greatly influence cigarette pack sizes globally, setting minimum standard sizes in some countries to deter tobacco sales among the youth, with pack designs playing a crucial role in marketing and consumer perception

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Our findings align with the increase in e-cigarette use amongst young adults in the US between 2019 and 2021 from 8.8% in 2019 to 10.2% in 2021 33

However, this is how females, especially non-American females were commonly depicted in Hollywood film in the 1930s, 1940s, and beyond