federal laws on tobacco Legal age for purchases raised to 21 Tobacco Sales Law Change Leaves
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[13] However, smoking prevalence and associated health issues continued to rise in the developed world in the first three decades following Richard Doll's discovery, with governments sometimes reluctant to curtail a habit seen as socially acceptable, as a result - and increasingly organised disinformation efforts by the tobacco industry and their proxies (covered in more detail below)

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This type of misclassification is also relevant to studies of spousal exposure and CHD risk or other diseases also caused by active smoking, although the potential for bias is less because the association of active smoking with CHD is not as strong as with lung cancer
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