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However, smokeless tobacco is just as likely as smoking to cause oral cancer and other dental and physical health concerns

Figure 8 Discussion Substance use remains one of the worlds most severe public health issues, profoundly affecting individuals, families, and societies

By mapping the current evidence and highlighting methodological constraints and unresolved questions, this review seeks to inform ongoing scholarly debate and to identify priorities for future high quality primary research, which is necessary before more conclusive interpretations can be supported

[346] We agree in aligning terminology where applicable