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Johnson et al.[20] found that select-all-that apply questions to assess ever and past 30-day tobacco prevalence among young adults may underestimate prevalence as estimates from such questions may be biased downward.[21] The YAC online survey in this study used the select-all-that-apply question format, while the TLC used a separate breakout question with an image, which is a question type that produced higher estimates in the Johnson[20] study

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In a randomized clinical trial following American Dental Association guidelines, researchers found that chewing stick users showed reduced plaque scores, while toothbrush-only users actually saw their plaque levels increase