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The accuracy of these findings may be affected by the use of questionnaires to assess smoke exposure and allergic disease development in most of the studies in the meta-analysis and by the possibility that individuals exposed to smoke may have shared other characteristics that were actually responsible for their increased risk of allergic diseases

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The paper additionally notes major demographic disparities: 34.9 percent of Non-Hispanic American Indian/Alaska Native adults used a tobacco product, for exampleas well as 25.2 percent of adults with annual household income below $35,000 than those with a higher income

Archaeological Journal 37: 432-434

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