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Overall, the inter-rater reliability was strong to near perfect across all codes, with the agreement ranging from 86.7 to 99.7% and prevalence and bias adjusted kappa statistic ranging from 0.73 to 0.99 with an average of 0.94

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60.7%) contained at least one culturally specific appeal, suggesting that cultural elements are commonly used by tobacco companies as a marketing tactic that specifically targets Chinese consumers