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Am J Public Health 1988;1988(78):574575

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Other site involvement, such as skin, genital or gastrointestinal, can be ascertained through a formal systems enquiry

Although the cross-sectional data of the present study does not allow to draw cause-effect conclusions, given the trends observed, it can be hypothesized that the introduction of smoke-free TNPs does not lead to an unintended increase in overall TNP use in the general adult population, but rather drives a shift in TNP use patterns from cigarettes to smoke-free TNPs