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Substance abuse is not merely a personal struggle but a widespread issue with far-reaching consequences

The majority (n=14) were also aware of the increased health risks for those who have diabetes, highlighting the increased cardiovascular health risks (n=9)

Aggressive ex-smoker Does not chew tobacco Does not use snuff Ex-cigar smoker Ex-cigarette smoker Ex-cigarette smoker amount unknown Ex-heavy cigarette smoker Ex-light cigarette smoker Ex-moderate cigarette smoker Ex-pipe smoker Ex-smoker Ex-smoker for less than 1 year Ex-smoker for more than 1 year Ex-snuff user Ex-tobacco chewer Ex-tobacco user Ex-user of moist powdered tobacco Ex-very heavy cigarette smoker Finding relating to moist tobacco use Finding relating to tobacco chewing Former heavy tobacco smoker Former light tobacco smoker Former smokeless tobacco user History of nicotine dependence History of substance dependency History of tobacco use in remission less than 12 months Intolerant ex-smoker Smokeless tobacco non-user Smoking monitoring status Smoking restarted Smoking started Snuff use - finding Stop smoking monitoring check done Tobacco non-user Tolerant ex-smoker Tolerant non-smoker Clinical Classification Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories

Growth was strongest among women and younger adults