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Knowledge, attitude, and usage pattern of tobacco among high school students in Nay Pyi Taw, Myanmar.

Nagoya J Med Sci · 2019 · PMC6433639 · PMID 30962656

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an increasing trendno p-value reported
Smokeless tobacco use is an increasing trend in Myanmar, not only in students but also in adults, owing to the socio-cultural context of smokeless tobacco use, especially betel chewing.

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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.