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[11] [66] In high-income countries, smoking is associated with over 70% of COPD cases, while in low and middle income countries, it accounts for 30% to 40% of cases

This impaired self-control makes it challenging for individuals to quit smoking or using nicotine products like nicotine patches, nicotine gum etc., as the immediate urge to relieve withdrawal symptoms or experience the drugs pleasurable effects takes precedence over the long-term goal of quitting