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Natural American Spirit cigarettes are the only major cigarette brand that markets its products as natural, organic and additive-free. The study confirmed the findings of earlier research from Truth Initiative, which showed that 50 to 60 percent of adults viewed Natural American Spirit cigarettes as less harmful than a comparison pack of Marlboro Red cigarettes

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Evidence from the review indicated that systems change interventions improve performance on process outcomes, such as documenting smoking status and providing cessation counseling and treatment, but these interventions do not yet clearly demonstrate that they increase cessation rates

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