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4, 5 In other countries, especially in Europe, the marketplace is much more complex: In several countries, contraband and counterfeit cigarettes are estimated to represent more than 10% of the domestic cigarette consumption, with the highest being Greece (22% in 2019), followed by Lithuania and Ireland (both 18%), the UK (17%), Latvia, France and Cyprus (all 14%), and Romania (12%)

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In this light, economic constraints, paradoxically, may serve a protective function in modulating tobacco use behaviors in the absence of regulatory frameworks (117)