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The percentage of high schoolers who reported smoking fell to 5.8% in 2019 from the prior year, a 28% drop and the largest since the U.S

The evidence is sufficient to conclude that there is a causal relationship between depictions of smoking in the movies and the initiation of smoking among young people. Chapter 1, p.10 2 The Surgeon General considers on-screen smoking in the same context as conventional cigarette marketing activities

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