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Virginia's state cigarette excise tax is $0.60 per pack , one of the lowest in the country

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Studies have linked vaping to an increased risk of respiratory symptoms, including coughing and shortness of breath, as well as a higher likelihood of developing asthma and chronic bronchitis

The original scales for all dependent variables were applied in the linear mixed models because estimates for fixed effects obtained from linear mixed models remain relatively unbiased even when the distribution of dependent variables deviates from normality 30