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2.1 Income disparities Low-income individuals often face barriers to accessing healthcare services and smoking cessation programs, which can exacerbate the health effects of smokeless tobacco use [12]

In 2019, the UK government released a green paper, announcing that the 2020s will be the decade of proactive, predictive, and personalised prevention 2 , setting an objective for England to be Smokefree by 2030 by reducing adult smoking to 5% or less 3 , and increasing the legal age to smoke for those born after 2008

Smokeless nicotine products like chewing tobacco, snuff and snus have been around and used for a long time