Of these, 217 (67%) were from 3 self-response surveys implemented repeatedly in most African countries to monitor health behaviours: WHO STEPwise (STEPS) (N=43),24 Multiple Indicator Cluster Surveys (MICS) (N=69)25 and Demographic and Health Surveys (DHS) (N=105).26 The 22 datasets excluded because they asked respondents how much they think a specified cigarette packaging-type costs are from Global Youth Tobacco Surveys (GYTS) implemented in African countries since 2012.27 These datasets are excluded because they provide respondents perceptions of the prices paid for cigarettes, not the actual prices paid
To iterate, this smells very ominous
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The tobacco chamber geometry and the design of the airway, the feel of the pipe in the hand, the way the smoker packs and puffs the bowl, mood, and even the weather conditions all have their influence, and relatively small changes can result in a major impact on the final experience
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