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Nicotine is often considered a social and biological "gateway" to the use of other substances, such as combustible cigarettes, alcohol, and drugs

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12 Furthermore, research has illustrated that smoking is actually associated with worse behavioral and physical health outcomes in people with mental illness, and that quitting smoking has clear benefits, including improving mental health

Washing your hands after smoking and before handling the baby is also important

Source Native American youth start using tobacco products at an earlier age than other populations