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During this period, tobacco users shifted from the traditional practices of using chewing tobacco, inhaling snuff, and smoking cigars and pipes, to smoking cigarettes, and the number of tobacco users increased as the rising number of initiates, including many women, became cigarette smokers (DHHS 2000b
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A necessary side note : Addiction
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Tobacco use Smoking was assessed using a self-reported questionnaire at baseline and 1-year follow-up
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