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In many of the countries with the highest usage, the use of chewing tobacco and other smokeless tobacco products is associated with important cultural practices or social norms 6,7

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BMJ Open 2021;11:e045603

The question on safe to smoke for one or two years might reflect low risk perception of smoking in the Indonesia setting, which is in line with a study conducted in the Virginia population 30

A targeted self-help intervention with high potential for dissemination could be efficacious in promoting smoking cessation among dual users of combustible cigarettes and e-cigarettes

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