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McCarrick et al.[16] studied 1,471 persons from the community and found that persons with mental illness had high rates of chronic diseases, such as heart disease, respiratory disease, cancers, and diabetes

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Unit level data has been exported, cleaned, and analyzed using R studio with R-software version 4 with the weights package ( For multivariate analysis, occupations were regrouped from eleven categories to four unique groups based on the type of occupation to assess its association with the use of smokeless tobacco