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responses were used to identify people at risk for initiation (i.e., people who had never used the substance as of 12 months before the interview date) and to identify past year initiates (i.e., people who used the substance for the first time in the 12 months before the survey)

"WHO framework convention on tobacco control" (PDF)

11 Smokeless tobacco can stain your teeth and contribute to tooth decay

Once the ingredients in tobacco get into the bloodstream, they reduce the delivery of oxygen and nutrients to mouth tissues

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