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These risks, according to the researchers, were generally smaller than those associated with cigarette smoking and similar to or larger than those associated with cigar smoking. This confirms one of the tenets of tobacco harm reduction: its the smoke that kills, and the risk is proportionate to how much, how long and how deeply smoke is inhaled.

Because of limited sample size, data were stratified by race/ethnicity for current any cigarette and/or smokeless tobacco use, but not for current cigarette use or smokeless tobacco use

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