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The Reasons for Using Smokeless Tobacco: A Review.

Iran J Public Health · 2021 · PMC8214603 · PMID 34178796

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an increasing trendno p-value reported
Although the prevalence of cigarettes is higher than smokeless tobacco in some European countries but there is an increasing trend in the world.

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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.