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"It came down a little bit pre-pandemic, I think because of the local policy efforts

It is an intriguing issue and calls for further study in the Cuban population.[39,40] Our results call attention to the particularities of womens relationship to tobacco and alcohol, which differs from mens and calls for gender-speci c prevention and intervention strategies

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"By introducing nicotine while the brain is developing, there is a higher probability to have long-term addiction issues later in life." Substance abuse also often goes hand-in-hand with other substance use: People often chase alcohol with cigarettes or, at the minimum, know they can at least get a nicotine high if they can't find their other preferred substance