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Conflict of Interests The authors state that they have no conflict of interests

Tobacco addiction is twofold: Psychological dependence: Smoking a cigarette involves a ritual of automatic and repetitive gestures associated with particular circumstances (pleasure, response to stress, intellectual stimulation, support for morale, need for a gesture of conviviality)

This report highlights the importance of continuing to monitor and reduce all forms of smoked and smokeless tobacco use in the U.S., said the studys first author Teresa Wang, Ph.D

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