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Cigarette consumption in Iran is lower than in many neighboring countries, primarily due to low smoking rates among women, cultural factors, significant regional variations, and the widespread use of alternative tobacco products such as hookah and smokeless tobacco 2

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Vaping and potential harm reduction Individuals with psychological distress are particularly vulnerable to the harmful effects of smoking, given both greater dependence on nicotine and greater difficulty in quitting 32

Nicotine on the developing brain

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Secondary outcomes included association between screening adherence and sociodemographic variables including, age, race and ethnicity, education level, income, marital status, residence (urban, rural), and having a primary care provider (PCP) visit within the last year