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Today, Tobacco Nation is comprised of the same 12 states we identified in 2017 Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, and West Virginia with smoking prevalence within the top quarter of adult smoking prevalence in the country

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Truth Initiative estimated that around 28 million young people were exposed to tobacco through these Netflix programs, and through an "analysis of peer-reviewed studies" calculated that "exposure to tobacco use in movies is responsible for 37% of smoking initiation among young smokers." A similarly high prediction was made by a recent Canadian study, focusing on movies