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Within lower socio-economic populations with low literacy levels including the scheduled castes and scheduled tribes, tobacco consumption was significantly high and was even higher for age groups above 50

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biologic gradient (dose-response evidence)

Many of these health hazards are also caused by exposure to secondhand smoke and the use of tobacco products other than cigarettesincluding cigars, pipe tobacco, smokeless tobacco products (e.g., chewing tobacco and snuff), and water pipes

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Serbia reports 39.0% and Bulgaria 38.8%, with Croatia, Bosnia and Herzegovina, and several of their neighbours close behind