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We used Cox proportional hazards models, adjusted for age, race/ethnicity, marital status, education, income and region to estimate hazard ratios (HRs, 95% confidence intervals, CI) for mortality from all causes, heart diseases, malignant neoplasms, cerebrovascular disease, chronic lower respiratory diseases and two mutually exclusive categories: smoking-related and other diseases

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The popularity of these tobacco products is mainly attributed to the stronger promotion of cigarettes as well as the growing influence of the tobacco industry when it comes to the policy-making of political parties