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Tobacco control strategies should target the poor, not (least) educated, and agricultural and unskilled workers, who are the most vulnerable social groups in the SSA region

Addiction can also negatively impact a persons finances, relationships, and mental health

ETHICAL APPROVAL AND INFORMED CONSENT All participants provided electronic informed consent and UK Biobank received ethical approval from the North-West Multi-center Research Ethics Committee (MREC) covering the whole of UK

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Many people see them as a healthier alternative to tobacco products, and young people are drawn to them