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People continue to use tobacco because they are addicted, that its like their bodys used to that chemical and its a [relief] to have that chemical put into you again because its so normal to them. The most common barriers to quitting included the social acceptance and widespread use of tobacco

The action of taking the hand to the mouth has been repeated so many times that it becomes overlearned, says Selby

However, the best, or rather the safest, choice would be to reserve accommodation that permits it or offers special spaces to use it

Ethics declarations Our study was approved by our Institutional Review Board and was HIPAA compliant