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Furthermore, most monitoring efforts and policies target smokers of cigarettes, because this market is well regulated, but do not cover smokers of less well regulated products, including pipe, cigarillos, water pipe, and locally grown tobacco, or smokeless tobacco product users.6 In addition to highlighting the importance of research into a broad set of tobacco products, the 2017 WHO report on monitoring tobacco use emphasised the urgent need to assess tobacco use gradients by socioeconomic and demographic characteristics to enable policy makers to tailor interventions to best meet the needs of different population subgroups.7 Our study complements the Global Burden of Disease studies on smoked and smokeless tobacco use

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