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Back in November 2022, the British Medical Journal (BMJ) published the scientific report The changing retail landscape for tobacco: dollar stores and the availability of cheap cigarettes among tobacco-related priority populations. The report, which was authored by several doctors from Stanford University School of Medicine in Stanford, Calif., and a member of the California Department of Public Health, states in part: Dollar stores may exacerbate smoking-related inequities by contributing to the availability of cheaper cigarettes in neighborhoods that are lower income, rural, and have greater proportions of youth

Retrieved 2023-06-16

Environmental factors, such as secondhand smoke exposure, aren't considered, making the metric incomplete for comprehensive risk evaluation

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