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This is an alarming trend

The sex-specific distribution of SLT consumption also (33% among females and 23% among males) contrasts with the national average (25% among females and 16% among males) 11

This is in addition to the risk of bone disease already associated with living with HIV and being a woman

"The impacts of e-cigarette flavours: An overview of systematic reviews"

Containing MST in tea bag-like sachets overcame what USSTs smoker focus groups identified as the top barriers deterring them from continuing traditional MST use after receiving free samples: (1) the messiness of float (strands of tobacco in the mouth), (2) the lipburn from tobacco sitting directly on the gum and lip, and (3) user anxiety over ascertaining the optimal size of pinch [22]