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Despite the low rates of daily smoking, the 2014 Bhutan STEPS Survey shows that daily tobacco use in general is at a higher 22% with smokeless tobacco use making up the majority of that statistic (18.5%)

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Specifically, between 2011 and 2016, 18- to 20-year-olds living in MMSAs with at least one local tobacco-21 law exhibited an average drop in their smoking rate of 1.2 percentage points, relative to those living in areas with no tobacco-21 policy