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Baseline During the first study visit, participants provided demographic information, including age, sex, ethnicity, level of education, employment status, and history of cigarette use

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METHODS Population We used 2016 (n=486303), 2017 (n=450016), and 2018 (n=437436) data from the Behavioral Risk Factor Surveillance System (BRFSS), a large cross-sectional telephone survey of non-institutionalized adults aged 18 years in the US 17

4 This can create blood clots and ultimately lead to a heart attack or stroke, even death

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Cigarettes provide a quick nicotine rush because nicotine reaches the bloodstream rapidly through the lungs