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Some researchers have referred to changes in culture and traditions as reasons why women are more interested in hookah smoking 50

This lack of access may make them more susceptible to marketing strategies used by tobacco companies to encourage use of addictive products, particularly among youth.[9] Tobacco companies have historically exploited lower income and underserved communities by targeting them for free samples and giveaways, which in turn develop into addictions that become difficult to quit and contribute to serious health problems.[10] Most smokers want to stop using cigarettes and have unsuccessfully tried to quit.[11] Importantly, Georgia does not provide comprehensive coverage of cessation treatments through Medicaid, although some treatments are available.[12] Lower income Georgians are less likely to be able to overcome the many barriers to quitting, requiring greater support through counseling, medications or a combination of treatments.[13] State lawmakers could address this disparity by investing more in public health and Medicaid and offering comprehensive coverage

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In November 2017, Jean-Franois Etter from the Global Institute of Public Health at the University of Geneva reported that the authors of the independent Lausanne study had responded to the manufacturer