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those who never smoked tobacco and used spliffs (95%CI:0.0220.915)

[137] "Multi-component" interventions were defined as those that combined two or more of the following strategies known as the "5 A's": [46] : 3843 Ask Systematically identify all tobacco users at every visit Advise Strongly urge all tobacco users to quit Assess Determine willingness to make a quit attempt Assist Aid the patient in quitting (provide counselling-style support and medication) Arrange Ensure follow-up contact Substitutes for cigarettes Nicotine replacement therapy (NRT) is the general term for using products that contain nicotine but not tobacco to aid smoking cessation

doi: 10.1038/nm1028 17 MallMAHarkemaJRTrojanekJBTreisDLivraghiASchubertSet al

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It should be noted, however, that despite this overall decline in initiation since 1965, trends over the past twenty years are not entirely encouraging