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The American Lung Association reports that adult smoking in the United States decreased from about 42% in 1965 to 12% in 2022

After adjustment for correlated psychosocial variables in the multivariable model, the direction of association may reflect residual confounding or interaction effects rather than a direct causal pathway

Whilst originally designed for holding cigarettes, this case could also be used for short-form cigars, holding matches or small items

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