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In contrast, rural areas show moderate to low shifts due to limited product availability and stronger traditional smoking norms

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The researchers studied data from 34,653 adults enrolled in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) who were assessed at two time points, three years apart, on substance use, substance use disorders, and related physical and mental disorders

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[DOI] [PMC free article] [PubMed] [Google Scholar] 267.Santarelli L., Gaetani S., Monaco F., Bracci M., Valentino M., Amati M., Rubini C., Sabbatini A., Pasquini E., Zanotta N., et al