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The examination of ST use patterns and behavior revealed that ST use is associated with age, education level, and socioeconomic status

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Moreover, a comprehensive nationwide 26-year study demonstrated that even in the absence of tobacco exposure, long-term exposure to PM2.5 significantly elevated the risk of lung cancer, which was consistent across genders, age groups, and education levels, but notably stronger in individuals with normal body mass index and a history of chronic lung disease [67]

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