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To further substantiate and consequently widely share such findings, the group analyzed results from 141 prospective studies that followed the health outcomes of smokers of varying levels (plus control groups of nonsmokers) over long periods of time

The contemporary (or cigarette) profile then sees the emergence of tobacco as a mass consumption item only after the invention and mechanization of the cigarette in the late nineteenth century allows the practice of smoking to spread from the male elite down the social hierarchy and across the gender divide