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American Spirit has no affiliation with any American Indian or Alaska Native tribes, however its depiction of an American Indian warrior, peace pipe, and thunderbird on its cigarette packaging caused 65% of participants in a study to believe the brand had tribal affiliations, which was associated with perceptions of decreased harm and greater intentions to purchase

They assessed one thousand males aged 20-35, with five hundred in the smokers group and five hundred in the non-smokers group

Lung Cancer Lung cancer accounts for 27 percent of all cancer deaths in Iowa

Virginia Slims are sold mainly in the United States but have a presence in several other countries, including Brazil, Germany, and Russia.(Source: Wikipedia) The brand offers various options like "Superslims," "Lights," and "Ultra Lights," available in both menthol and non-menthol