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Even when accounting for imperfect ART adherence and missed follow-up care, the decrease in life expectancy because of smoking cigarettes was similar to such a loss from HIV among men with HIV in the U.S., Krishna P

1 2 "Flavored-Little-Cigar and Flavored-Cigarette Use Among U.S

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Cross-sectional studies of US adults report levels of cigarette, vaping, and dual product use among those with SPD more than twice that of those without SPD, with an increased likelihood of both current vaping and daily vaping 22,23