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These models were adjusted for potential cofounders including age, gender, BMI, smoking history, the number of tobacco sticks used per day, TDS score, and smoking status

Consumers are unlikely to switch to products such as cigarettes or cigars due to the cultural aspects associated with Shisha tobacco

Tobacco control measures and policies that act to reduce the amount of tobacco marketing particularly among vulnerable communities with high concentrations of Black residents and individuals with low-socioeconomic statuses are greatly needed, the authors write