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But Anderson says a lot of smoking cessation programs dont take into account the sacred role of tobacco in American Indian culture, and dont differentiate between little tobacco and the commercial kind, so the message to quit falls flat

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The multivariable-adjusted hazard ratio was 1.34 (1.201.50) for sustained smokers and 1.03 (0.861.24) for quitters compared to current non-smokers (P for trend 14.5-year longitudinal study of 13,529 men conducted in the U.S [11]., cigarette smoking was associated with an increase in incident hypertension