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Excise tax structures further support this trend by applying flat per-unit duties instead of ad-valorem rates, making premium cigarettes relatively more affordable on a percentage basis

In North Carolina, the adult tobacco use rate was 27.1% in 2019, as reported by the American Lung Association (2020) in the State of Tobacco Control. The state has struggled to reduce tobacco use, earning failing grades in efforts to prevent smoking and e-cigarette use

This one (below) ranked a clear #1, even above How often do you exercise ? (#2): Nearly 1/3 of people who buy food or drinks at convenience stores on a regular basis smoke every day

Retrieved 11 April 2015