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Additionally, cities like New York and Singapore have raised minimum purchase ages to 21 and 21+, which is further limits access

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Lower associations between tobacco control policies and quit ratios could be explained because quit ratios may represent a less sensitive measure to monitor tobacco use among certain populations compared with tobacco smoking prevalence because of changes in the denominator per each measure or the different stages of the tobacco epidemic.36 Limitations and strengths This is an ecological study, and consequently, any causal relationship between tobacco control policies and the outcomes assessed (smoking prevalence and quit ratios) is difficult to establish