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Chinese Center of Disease Control and Prevention

Both used chewing tobacco, or spit tobacco, which Bender said is as deadly or more so than cigarettes

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Researchers used Cox proportional hazard models to estimate the adjusted HR for risk for thyroid cancer, adjusted for age, sex, physical activity, monthly income, BMI and diabetes status

So what's going on behind the scenes

Cigarette Smoke Exposure in Children and Adolescents Cigarette smoke derives from burning tobacco products (e.g., cigarettes, cigars, and pipes) or smoke that has been exhaled by a person smoking