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Qualitative research conducted in UK prisons has revealed that many prisoners want to achieve something while in prison, and view quitting smoking as a way of doing this.[34] Prisoners have described being in prison as an opportunity to access stop smoking services and nicotine replacement therapy.[35] Resistance and negative attitudes to smoking cessation in prisons can be based on the belief that quitting smoking, especially if it is enforced through smoking restrictions, would place an intolerable burden of stress on prisoners at an already stressful time.[36] Mitigating stress and boredom should be included in stop smoking initiatives
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Age is one of the risk factors related to the onset of COPD and its interaction with tobacco consumption may be determinant for this disease.14,17,29 In our study, taking as a reference the onset of smoking before the age of 15 years and adjusting for cig/day, the risk of COPD is lower in those individuals who start smoking after the age of 15 years
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