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Its distribution was largely confined to independent grocers and local distributors

And let's not forget how printed information on cardboard cigarette boxes encourages responsible smoking behavior

Confounders were selected based on previous literature and clinical relevance, including demographic factors (age, sex), comorbidities (diabetes, hypertension), and perioperative factors (surgical technique, anaesthesia duration).Statistical significance was set at p 0.05)

Thus, according to the American Lung Association, the African-American and Native American communities have the highest smoking prevalence (16.8% and 21.9%), while the Asian community consumes relatively little tobacco (7% of adult smokers).[2]