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The need to constantly buy new devices is the biggest hidden cost factor

The only study evaluating existing SLT dependence scales, Oklahoma Scale for Smokeless Tobacco (OSSTD), Tobacco Dependence Screener (TDS) and Fagerstrm Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST) in South-Asia (Bangladesh) found the OSSTD lacked construct validity due to differences in the tobacco products, usage behaviors and sociocultural factors in Bangladesh and highlighted the need to develop new SLT scales relevant for the South-Asian population 17
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'From my perspective, I wanted to know how much of our problems were me, how much were her

From 1960 until 1990, detailed information was gathered on type and amount of smoking (cigarette, cigar and pipe)

Second, facilitating complete cessation as a primary prevention strategy
