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The chemical dependency from nicotine is considered to be as strong as the dependency from much heavier drugs

They were advised to quit tobacco as the tobacco use was influencing their oral health and finances

But another reason is a recognition of the transaction costs involved in these private negotiations

Indigenous peoples, particularly in the Americas, have long revered tobacco as a powerful spiritual tool

With budgetary constraints for healthcare in the region 24 and against the backdrop of other competing public health priorities, implementing evidence-based tobacco prevention strategies may benefit public health