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Even though suspicious factors can be inferred epidemiologically, the true causal relationship cannot be determined, wrote Zhao Mingyue, a researcher from the Zhengzhou Tobacco Research Institute, in one chapter

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1 2 Menthol Cigarettes and Public Health: Review of the Scientific Evidence and Recommendations (PDF)

[30] Where these demographics overlap, menthol use is especially high: most female LGBT smokers use menthols, as do 80 percent of African American youth smokers and 70 percent of LGBT youth smokers

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