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Not only is tobacco physically unhealthy, its also financially unhealthy

Because people participating in online panels are paid per survey (and may seek to provide the right answer to gain entry), screening questions were neutrally phrased to discourage guessing or misrepresentation, and multiple responses required for assignment to a smoking behavior category

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These carcinogens form DNA adducts, leading to mutations in oncogenes and tumor suppressor genes, which initiate malignant transformation