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These groups are also recognised as the most resistant to smoking cessation strategies outside of prison.[13] Another main reason for the high prevalence rates is the absence of interventions addressing this issue specifically among prisoners

After 1 year of being smoke free you should really enjoy this on a personal level because your heart certainly is - by this point, your risk of heart disease is roughly half of someone still smoking.

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In people with comorbid substance and/or alcohol use, smoking rates are more than double those in non-users with similar demographic characteristics (Guydish Reference Guydish, Passalacqua and Pagano2016)