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Interviews with 105 pregnant women from around the country suggested that pregnant women respond strongly to both graphic warning labels and other messages addressing the effects of smoking on the fetus, on mothers, and on children in households with second-hand smoke

The laws are not just reducing the behavior of individuals, Friedman said, but they are reducing the behavior of friends, and that creates a feedback loop, because what your friends do affects you, especially as a young adult. Researchers also looked at changes in smoking among 21- and 22-year-olds who would not have been affected by the tobacco-21 laws, but would have been influenced by other local factors like cigarette taxes, community attitudes toward smoking, and tobacco advertising

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Last year, Costa Rica also banned smoking in all public places including bars, restaurants and bus stops