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The disparities in tobacco use and its health consequences across different regions and social groups also became increasingly apparent in the 20th century

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Brand loyalty ran deep many users said they rarely found reasons to switch from their favorite menthol brand

For years, most of the tobacco companies had been conducting campaigns to persuade college students to smoke their particular brands, both through placing advertising in college publications (the cigarette industry became the biggest single source of revenue for many such publications) and through the promotional activities of paid campus representatives among the student body, to whom they gave quantities of sample packs for free distribution