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Below are possible side effects of nicotine addiction: 3 Coronary heart disease Stroke Reduced blood flow to legs and skin Lung cancer Worsened asthma symptoms Chronic obstructive pulmonary disease (COPD) Additional cancers Birth defects Reduced fertility Tooth decay Type 2 diabetes Decreased immune functioning rheumatoid arthritis Nicotine Withdrawal Symptoms Individuals may experience withdrawal symptoms when they attempt to quit or significantly reduce their nicotine intake

Smoking by socio-economic status There are also large disparities in smoking by socio-economic status measured by NZDep, an indicator of neighbourhood deprivation (figure 4)