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It could be a form of emotional release in situations of distress or part of an attention seeking behaviour

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In the sensitivity analysis utilizing relative risks of smoking initiation and cessation without weighting by subpopulation size ( vii ), the difference in time needed to reach 5% smoking prevalence increases by 8 years between low SES and higher SES subpopulations and 11 years between SPD and non-SPD subpopulations (Additional File 1, Supplementary Fig