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Only 13 studies examined the underlying contributors to observed disparities and proposed practical solutions [7, 11, 12, 16, 21, 25,26,27, 29, 31,32,33, 36]

But a 2019 study by Stanford researchers found the first six months of Juul marketing targeted young people, not adult smokers

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This spending mirrors the pattern we see with marketing expenditures for cigarettes and smokeless tobacco, for which the vast majority is also spent in the retail environment

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Additionally, the results were robustly tested using multiple methods including univariate MR, multivariate MR, weighted median method, and MR-Egger regression