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Notably, in countries like Bangladesh with some of the highest overall rates of use, prevalence among females appears to steadily increase with age, leading to roughly 50% of females aged 80-84 chewing tobacco 3

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Discussion of the risks and rewards is most useful if the patient does not express a desire to be a nontobacco user, whereas a focus on the roadblocks addresses patients who want to stop using tobacco products, but express a lack of confidence in their ability to quit

Its estimated that 600 million trees are cut down every year to produce tobacco products and cigarette-manufacturing machines use up to four miles of paper an hour to roll and package cigarettes