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Social and psychological mechanisms A substantial body of literature indicates that violence, discrimination, stress, mental health issues, and family rejection are positively associated with tobacco use among SGM individuals 32,33

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In 2001, a panel of experts wrote a 236-page report for the National Cancer Institute, saying, In fact, the use of these cigarettes may be partly responsible for the increase in lung cancer for long term smokers who have switched to the low-tar/low-nicotine brands. Another consultant for Philip Morris and the chemical industry, Kenneth Mundt of Ramboll Environ, has attacked the NCI report

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