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Some require multiple attempts to become tobacco free

While smoking rates have fallen in developed countries - to less than one in five in the US - they have risen in China, as cigarettes have become more available and consumers richer

Officials have installed several signs around public beaches including in Caracol, Defines, and Marln stating that the consumption of any type of product containing tobacco or nicotine is strictly prohibited

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This discrepancy argues against a straightforward smoking-cessation explanation and instead points towards healthy switcher bias that is, former smokers who successfully transitioned to e-cigarettes may represent a systematically healthier subgroup with unmeasured advantages in terms of health motivation, body weight, and healthcare engagement