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For rural tobacco consumers with limited budgets, an increase in SLT prices often necessitates a reduction in their consumption.[11] While this suggests that pricing strategies could effectively control widespread SLT use, the persistent availability of untaxed and unrestricted SLT in Pakistans low-income areas, as identified by Zhao L et al., undermines this potential and contributes to its continued preference over cigarettes.[19] Furthermore, the lax enforcement of regulations on SLT sales to minors, as highlighted by Khan Z, facilitates early initiation and sustained dependency.[20] Adding to these challenges, the prevalence of unregulated SLT manufacturing in Pakistan poses significant obstacles to effective taxation and regulatory oversight.[21]

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Jared Penny helps his father, Andy, farm tobacco in Johnston County

Less for Food, Rent and Kids Needs Research shows that when people keep smoking despite rising prices, something else in the budget usually gets cut