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Assessment of nicotine dependence among tobacco users visiting outreach programs in Dharan, Nepal: a cross-sectional study.

BMC Public Health · 2021 · PMC8343898 · PMID 34362327

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a decreasing trendno p-value reported
There is a decreasing trend of nicotine use in most of the high-income countries whereas increasing trend in most of the low and lower-middle income countries [ 9 ].

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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.