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increased mental health symptoms may lead to increased smoking as a coping strategy, and the onset of smoking may result in poorer physical health/quality of life, leading to symptoms of depression and anxiety)

Resources available include: quitStart, a free app for your smartphone the CDCs (800)-QUI-TNOW hotline, a nationwide portal to state-specific quit hotlines the American Cancer Societys Quit for Life hotline, available 24/7: 866-QUIT-4-LIFE Nicotine Anonymous, a support group for those recovering from addiction to nicotine For many people, smoking tobacco is the primary cause of their COPD

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By contrast, there were fewer amongst those with breathing problems who reported having PPE provided by company, used PPE or advised others to use PPE (50% vs 20%, 2 = 3.8, p = 0.050), and who had adequate safeguards and education (53.3% vs 13.3%, 2 = 6.7, p = 0.010)