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The increases in adenocarcinoma of the lung observed in the United States over recent decades may reflect changes made to the cigarette, such as filters, filter ventilation, and tobacco-specific nitrosamines (TSNA) in smoke produced by the relatively high amount of burley tobacco used in the typical US cigarette blend

Tobacco advertising and promotion increase awareness and receptivity towards cigarettes and provoke positive attitudes towards tobacco smoking

Conversation impact: Hard to articulate clearly

Social Bonding Smoking creates social opportunities and a sense of camaraderie among smokers, especially in group or social settings

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