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Studies suggest that women start and continue SLT due to factors like marital stress, socioeconomic burdens, limited support systems, social norms, peer pressure, misconceptions, ignorance, and a lack of awareness about complications and risks 21,22,23,24

Who uses it: Historically popular among farmers, soldiers, and baseball players

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In the United States, 20 cigarettes per pack are common

Traditional flat blunt wraps can be used in rolling machines designed for wraps and papers