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Secondhand smoke is defined as the combination of smoke from burning cigarettes and the smoke breathed out by smokers

in the early decades of the 20th century, it took hold among the well-to-do

Once the habit is established, it becomes a part of their social identity, and quitting may feel isolating or difficult due to social cues that reinforce the behavior

While snus is often advertised as having less harm than cigarettes, the most significant health effects snus can have include maintaining dependence to cigarettes and using snus as an initial tobacco product before trying other tobacco products

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