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[16] Nicotine deregulates cardiac autonomic function, boosts sympathetic activation, raises heart rate, causes coronary and peripheral vasoconstriction, increases myocardial workload, and stimulates adrenal and neuronal catecholamine release

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However, in models adjusting for neighborhood characteristics, spatial autocorrelation, and alcohol and fast food outlet densities, income was no longer significantly associated with health outcomes, suggesting that social context, such as the density of tobacco retailers, influences health outcomes more than income alone

"They look at it like it's some sort of safe alternative to smoking," he said