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Menthol cigarettes are easier to smoke and more difficult to quit because the flavor reduces the harshness of the cigarette smoke and suppresses the coughing reflex

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Of the 10 States with the highest rates of adolescent's perception of great risk from smoking one or more packs a day, 5 were in the Northeast (Connecticut, Maine, Massachusetts, New Jersey, and New York), 3 were in the West (Hawaii, Utah, and Wyoming), and 2 were in the Midwest (Minnesota and Wisconsin)

This risk is further increased in patients receiving concomitant corticosteroid therapy