cigarette burn scar on face Figure 1 from Images in emergency medicine. Child abuse caused by burns Abusive Burns | Springer Nature

Varuna Srinivasan, MBBS, MPH, Kousha Mohseni, MS, Shahmir Ali, ABD, National Center for Health Research In the United States, over 480,000 people die every year from smoking and tobacco-related illnesses

It's a weird question

Neglect of alternative pleasures could be fulfilled by endorsing the item, "Do you find that you are spending more of your free time trying to get cigarettes?" The criterion of use despite harm could be fulfilled by answering affirmatively the question "Has a doctor or nurse told you that you should quit smoking because it was damaging your health?" Consequently, a participant who smoked two cigarette per week (but had planned on smoking only one), spent more time trying to get these two cigarettes than when he used to smoke only one per week and was told by the school nurse that smoking was bad for his health would earn in this study an ICD diagnosis of tobacco dependence

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