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Nicotine is also implicated in raising blood pressure and heart rate and increasing a smokers risk of a heart attack

[ 33 ] This underscores the need for strong age-verification requirements and strong enforcement efforts, including, as study authors suggest, an increase in the number and frequency of FDA compliance checks

The laws are not just reducing the behavior of individuals, Friedman said, but they are reducing the behavior of friends, and that creates a feedback loop, because what your friends do affects you, especially as a young adult. Researchers also looked at changes in smoking among 21- and 22-year-olds who would not have been affected by the tobacco-21 laws, but would have been influenced by other local factors like cigarette taxes, community attitudes toward smoking, and tobacco advertising

Celebrities being open about smoking online ultimately serves as social proof that you can embody that image yourself, and maybe, just maybe, youll look as cool as they do, Oviatt added