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"Betel-Quid and Areca-Nut Chewing" (PDF)
Accessed July 27, 2026
24, 2017 /PRNewswire/ -- People with mental health conditions (depression, ADHD for example) and substance use disorders are estimated to account for 40 percent of cigarettes smoked in the U.S., and 38 percent of military smokers start after enlisting
Males are more likely than females to combine betel nut chewing with smoking and alcohol use, and prevalence among males is estimated to be three to five times higher than among females
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