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A nationally representative study on socio-demographic and geographic correlates, and trends in tobacco use in Nepal.

Sci Rep · 2019 · PMC6389978 · PMID 30804493

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a decreasing trendno p-value reported
an increasing trendno p-value reported
We found a decreasing trend of tobacco smoking and an increasing trend of smokeless tobacco use over the 10-year period.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.