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In the context that these substances are far more socially unacceptable than cigarettes, participants may be more comfortable acknowledging that they smoke. Fifteen years ago, we wrote, It is surprising that estimates of national smoking prevalence have been derived from a single source, the NHIS, and that little research has been conducted to assess its accuracy over time Further investigation of the NSDUH/NHIS discrepancy may lead to better surveys and an improved understanding of smoking trends in the USA. To date, nothing has been done to explain this discrepancy, so it is reasonable to consider the NHIS and NSDUH figures as low and high estimates for U.S

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Heat-not-burn tobacco products (or smokeless tobacco) are electronic devices that look like an e-cigarette but contain tobacco

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