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doi: 10.1111/j.1360-0443.1989.tb03059.x

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But, epidemiological models may not fully account for the fact that people who are ill (or, especially people who are more likely to become ill) are more inclined to begin smoking, and more disinclined to discontinue smoking

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Data from 20002015 showed significant increases in non-cigarette combustible tobacco consumption, including pipe tobacco, partly due to lower taxation and misperceptions about relative safety