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Using a single dichotomized item may not fully capture these dimensions and may introduce measurement error

Unlike Europe, nicotine pouches remain less common in many parts of the world, favouring traditional tobacco products

Psychologically, smoking becomes associated with certain triggers, such as stress relief, social interactions, or specific routines, making it a deeply ingrained habit
Those working with people with mental health conditions need to understand and address the vicious cycle of bidirectional effects, whereby having symptoms of mental illness causes individuals to smoke more and to be more likely to become addicted
The combination of nicotine replacement therapy and behaviour support, including vaping, can significantly improve quit rates
