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Over time, smoking can also cause chronic obstructive pulmonary disease (COPD), a progressive lung disease that makes breathing difficult

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Research has shown that the variety of available flavours is one of the top reasons for experimentation with e-cigarettes among youths, in addition to peer influence and curiosity [66, 67, 68, 69, 70]

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3.1 Prevalence of tobacco use and modes Overall, for the study period 20192023, the prevalence of current tobacco smoking was reported to be 14.6%, with 6.6% of the overall participants smoking cigarettes, 6.6% Midwakh and 2.2% waterpipe, respectively (Table 1)

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