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Economic disadvantages significantly hinder access to early diagnosis and optimal treatment 20 , particularly in low-resource communities where high smoking prevalence and limited cessation resources contribute to poorer clinical outcomes 21

The study followed 72 smokers for four weeks

Two coders then used the final codebook to double-code ten transcripts, reaching a satisfactory average coding agreement across codes (Krippendorff s alpha=0.76, percent agreement=89%)

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