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For instance, tobacco use is higher among non-Hispanic American Indian/Alaska Native adults compared with other racial or ethnic groups, among residents of the Midwest or southern United States compared with the rest of the country, among individuals with lower levels of household income, among adults who were uninsured, and among individuals with disabilities or serious psychological distress (116)

This makes blood clots form more easily and then the clots can block blood flow to the brain and cause a stroke

Research from NCBI shows areca nut a key ingredient in gutkha is linked to oral submucous fibrosis, a condition where the mouth gradually loses flexibility and opening capacity

healthcare spending attributable to cigarette smoking in 2014"

www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-and-nicotine-use-prevention-in-children-and-adolescents-primary-care-interventions

After gaining ethical approval from the relevant ethical review committee, the study was conducted over a six-month period, from July 2023 to December 2023