use of tobacco Dangers Smoking Tobacco Product Use Among Adults

Stress can also make things worse

Compared with those who use non-flavored tobacco products, consumers of flavored tobacco products are generally less likely to have cessation intentions [11, 19]

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And thats what I think leads people to connect them, Benowitz says

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A 2001 survey of 1,046 adult smokers found that 53% incorrectly believed nicotine causes cancer and 14% didn't know [115], and a 2002 survey found that half of all smokers are concerned about negative side effects of using NRT [116]