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Bohadana, MD Pulmonary Institute, Shaare Zedek Medical Center 12 Bayit Street Jerusalem, Israel Phone: (972) (0) 58-437-8069 Fax: (972) 02 6555686 Email: [email protected] Abstract Background: Although smoking is the leading cause of chronic obstructive pulmonary disease (COPD), many patients with COPD smoke, highlighting the need for effective smoking cessation interventions in this population

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46-49 More severe withdrawal symptoms 50 and higher levels of psychological distress 51 , 52 among those with financial stress may promote smoking and negatively impact quitting