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Some actual responses by smokers in this stage have been: I want to quit smoking, but I don't think I'll be able to. I like smoking, but I'm concerned about this cough. The goal of counseling patients in the contemplation stage is to explore both sides of their ambivalence (with the emphasis on how their lives will improve after quitting), which helps them resolve in favor of quitting

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In modern Africa, smoking is, in most areas, considered an expression of modernity, and many of the strong adverse opinions that prevail in the West receive less attention