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Compared with benchmark Smoking prevalence in adults (aged 18 and over) admitted to treatment for substance misuse (NDTMS) - all opiates (Persons 18+ yrs) Source: Office for Health Improvement and Disparities, National Drug Treatment Monitoring System Smoking prevalence in adults (aged 18 and over) admitted to treatment for substance misuse (NDTMS) - non-opiates (Persons 18+ yrs) Source: Office for Health Improvement and Disparities, National Drug Treatment Monitoring System Heavy Smokers 20+ Cigarettes Per Day From Hulls Health and Wellbeing Survey 2019, 4.5% of Hulls total adult population smoked the equivalent of 20 or more cigarettes per day (or equivalent), and this was highest among people aged 45-64 years, people living in the most deprived areas of Hull and people who were unemployed or not working due to long-term illness and disability

This aligns with trauma-related attachment patterns, where connection feels simultaneously necessary and unsafe even like an apocalypse

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Smoking does not directly cause obstructive sleep apnea but increases the chances of getting it