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However, those in pain were almost three times as likely to report both tobacco and cannabis use, according to the study

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The most infamous example of this was so-called Project SCUM (for "Subculture Urban Marketing"), a plan by RJ Reynolds in the mid-1990s to market their Red Kamel brand to gay men in San Francisco's Castro District and homeless people in the city's Tenderloin neighborhood

The potential bias from confounding varies with the association of the confounder to secondhand smoke exposures in a particular study and to the strength of the confounder as a risk factor