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There are exemptions to these exemptions, too

Using a qualitative approach, the researchers identified any time participants referenced food or similar ideas like diets and appetite and reviewed these statements to identify themes

Studies to enhance knowledge on access and health equity challenges related to tobacco cessation, including for groups such as Indigenous populations or populations that may face barriers to accessing interventions, would also be helpful

PMID 30949076

Environ Int 125:365385

It is possible that those interviewed may have considered water pipes, also known as hookahs, in their responses for pipes. According to the CDC, between 2011 and 2014, high school students use of hookahs showed a statistically significant increase, while their current use of more traditional products such as cigarettes and cigars decreased, resulting in no change in overall tobacco use