Availability, appeal, and addictiveness by design: Tobacco and nicotine industry deliberate targeting of youth.

Maddox, Raglan; Freeman, Becky; Pisinger, Charlotta; Banks, Emily · PLoS Med · 2026

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Abstract

Contemporary tobacco and nicotine products, particularly e-cigarettes, are deliberately designed, marketed, and distributed to maximize youth appeal, uptake, dependence, and use. Youth uptake is a predictable outcome of systems designed to maximize product availability, appeal, and addictiveness.

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