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One of NSDUH's strengths is the stability in the sample and survey design that allows multiple years of data to be combined to examine the behavioral health of specific subgroups, such as smoking among people with mental illness

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Short-term effects of smoking on the throat include: Dryness caused by reduced moisture in the throat lining Scratchy or burning sensation during or after smoking Temporary inflammation leading to mild soreness Increased sensitivity to cold air, pollutants, or strong odours Occasional hoarseness or slight changes in voice Long-term smoking can lead to the following effects on the throat: Chronic throat irritation due to repeated exposure to smoke Persistent inflammation that does not fully resolve Ongoing dryness and reduced natural mucus protection Frequent throat clearing linked to irritation or mucus buildup Greater susceptibility to infections due to weakened local defences Prolonged hoarseness or voice strain As time passes, the throat may become less able to recover efficiently, especially with continued smoking