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National data show that about 95% of adult smokers begin smoking before they turned 21

Other health outcomes A hospital casecontrol study of Indian chewing tobacco users reported greater gingival bleeding (OR = 1.710

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Acknowledging that clinicians may not have adequate time and may not feel comfortable treating tobacco use disorders, simplified models such as AAR (ask, advise, refer to treatment resources) or AAC (ask, advise, connect patients to a quitline via fax, phone, or electronic referral) can be used

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