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Longitudinal Association of Tobacco Product Use with Health-Related Quality of Life From Waves 1-5 Reference Group: P30D Exclusive Cigarette Use: When evaluating the longitudinal relationship between tobacco product use and change in PROMIS scores over the four 2-wave pairs, cigarette and e-cigarette dual use at baseline wave was associated with worsening overall health over time (beta=-0.08, CI [-0.16, -0.01]) compared to exclusive cigarette use

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Choosing Your Blend Each cigarette corresponds to one of the signature ceremonial blends, so the choice is really about the quality of moment you're creating

From literature review, although cardiovascular risk is reduced in smokers of low-tar or low-nicotine cigarettes or by reducing the number of cigarettes, the estimated reductions in risk are much less than the increase in risk associated with cigarette smoking when compared to never-smoked individuals