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While the criteria frequently relied on for validating self-reported tobacco use (biomarkers of exposure to nicotine (eg, cotinine) and tobacco (eg, tobacco-specific nitrosamines)) are not always specific to individual product classes, other strategies can provide insight, as demonstrated by Brose et al ,44 Lee et al 45 and Miller et al .18 Survey developers must consider incorporating items that probe beyond a singular initial question about product use

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As the sun came up on a spring day in 2011, three men started work on a farm in Amapa, getting work done before the sun made outdoor work intolerable