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This variable was used to explore Aim 3 (determining the relationship between the stigma measures and lung cancer concern/perceived risk)

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In Kentucky, for example, where smoking is most prevalent, the rate of lung cancer is almost four times as high as it is in Utah, where smoking is least prevalent

Generally, there are two ways for the Dutch national government to influence local tobacco control policymaking: by putting moral pressure on local governments to take responsibility to allocate more of their budget to tobacco control, or by collaborating with public health departments and providing them with dedicated tobacco control budgets or grants which they can use to activate municipalities