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While smoking is a risk factor that increases the likelihood of developing these types of throat cancers

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Everything seems kind of okay, he says

If the exclusion of these participants was related to both smoking habits and the outcomes, it may have introduced selection bias

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In our 2017 report, Tobacco Nation: The deadly state of smoking disparity in the U.S., we highlighted a group of 12 states in this region, all of which had higher smoking prevalence than the national average: Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee and West Virginia