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People who purchased cartons were more likely to be from the highest income group, and rates of carton purchase were lower in 2016 to 2020 compared to 200708, perhaps reflecting the very high upfront cost of bulk purchases in later years

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Other studies suggest that the positive health claims in cigarette advertising made during this period might have had an indirect negative effect on tobacco consumption by giving the impression that protection was needed, thereby reinforcing the health scare (IOM 2001)