We should take advantage of that, for goodness sake, and increase the cigarette tax in Kentucky by at least $1 and then tax all other nicotine products at parity with the cigarette tax. After the initial boost in cigarette-tax revenue from the rate hikes in 2011 and 2018, revenue from the tax declined 24% from 2019 to 2024
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1.76 v 1.58 for five cigarettes per day), consistent with a higher risk of coronary heart disease in women reported by others.73 A comparison between sexes could also be examined directly within the same study cohort, where a higher relative risk was seen, without modelling: Hirayama et al (relative risk 1.61 for women versus 1.50 for men, for smoking one to four cigarettes per day),29 Nilsson et al (1.47 v 1.24, for smoking one to seven cigarettes per day),53 Prescott et al (2.14 v 1.03, for smoking three to five cigarettes per day),72 and Bjartveit et al (2.94 v 2.74, for smoking one to four cigarettes per day).17 Supplementary figure D shows the forest plots for the age and sex adjusted relative risks in five studies for which results were not reported separately by sex: consuming one or five cigarettes per day had 53% or 61% of the excess risk, compared with 20 cigarettes per day (table 1)

As global agricultural markets experience shifts due to climate impacts and changing trade policies, the cost of manufacturing tobacco products can rise unexpectedly