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Tobacco blend, humidity, altitude, ambient temperature, pace of puffing, pipe shape, pipe materials and pipe condition are just a few factors that affect the smokers experience

95% CI, 0.21 to 0.15)

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We included empirical quantitative and qualitative studies, as well as high-quality reviews and policy reports, that reported outcomes such as ever use, current use, daily use, cessation-related use, or dual use by at least one socioeconomic indicator