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Taken together, the direction of these coefficients aligns with the hypothesized chain linking tobacco dependence to chronic disease through reduced physical activity and worse mental health: higher dependence is associated with lower engagement in health-promoting behavior and elevated depressive symptoms, which in turn correspond to greater chronic disease risk (Figure 1)

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Dimensions: 10000 x 6500 px | 84.7 x 55 cm | 33.3 x 21.7 inches | 300dpi Date taken: 25 July 2024

Compared to those using tanks (freebase, adjustable settings), participants using disposable devices (salt, no adjustable settings) were less likely to report quitting or reducing smoking as the primary reason (W2: AOR=0.34