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Availability of data and materials The datasets analyzed during the current study are available in the IPUMS repository at Abbreviations NHIS: National health interview survey HR: Hazard ratio CI: Confidence interval IPUMS: Integrated public use microdata series NDI: National Death Index ICD: International classification of diseases and related health problems BMI: Body mass index CPS: Cancer prevention study TUS-CPS: Tobacco use supplement to the current population survey References Rostron BL, Corey CG, Gindi RM

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As we dug into the sand, scoured the tide line, and combed through every inch of this beautiful beach, we uncovered something truly shocking: 1,355 cigarette butts

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