This lack of access may make them more susceptible to marketing strategies used by tobacco companies to encourage use of addictive products, particularly among youth.[9] Tobacco companies have historically exploited lower income and underserved communities by targeting them for free samples and giveaways, which in turn develop into addictions that become difficult to quit and contribute to serious health problems.[10] Most smokers want to stop using cigarettes and have unsuccessfully tried to quit.[11] Importantly, Georgia does not provide comprehensive coverage of cessation treatments through Medicaid, although some treatments are available.[12] Lower income Georgians are less likely to be able to overcome the many barriers to quitting, requiring greater support through counseling, medications or a combination of treatments.[13] State lawmakers could address this disparity by investing more in public health and Medicaid and offering comprehensive coverage
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Future research to identify other susceptibility factors, such as genes that modify carcinogen metabolism or DNA repair, will need to be substantially larger and to quantify lifetime tobacco exposure with more precision than have past studies in order to distinguish gradations in risk due to exposure from those caused by genetic susceptibility
This indicates that both sample size and the context in which the intervention was delivered can influence the effect size 28
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