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Global evidence shows these policies reduce cigarette litter, minimize second-hand smoke exposure, and shift social norms that discourage smoking and support cessation [45, 53, 73,74,75]

Acknowledgements We thank Claudia Duran-Aniotz for technical assistance and statistical analysis advice and George Edwards III for critical reading of the manuscript

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For all four pack structures, not finding them off-putting was associated with susceptibility to smoking (AOR=2.733.69), although this sub-group was relatively small