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95% CI 4.165.4), after adjusting for smoking [29]

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Abbreviations CI: Confidence intervals DALYs: Disability-adjusted life years DHS: Demographic and Health Surveys GATS: Global Adult Tobacco Survey ICS: Individual Country Survey PAF: Population attributable fraction SEBS: Special Europe Barometer Survey ST: Smokeless tobacco STEPS: STEPwise Approach to Surveillance TSNA: Tobacco-specific nitrosamines WHO: World Health Organization References National Cancer Institute and Centers for Disease Control and Prevention

Tobacco use disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), is a form of substance use disorder that includes nicotine dependence

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