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In this connection, differences between rural and urban US in smoking hookah were also examined, and the results illustrated more prevalence of hookah use in urban areas in comparison to rural areas [46]

In addition to increasing the risk of cancer, long-term smoking is also closely related to a variety of diseases, which may lead to lung disease, induce cardiovascular disease, lead to atherosclerosis, reduce life expectancy, reduce sperm quality and affect fertility, may also cause osteoporosis, in short, smoking is harmful but not beneficial

Smoking and gender

Data from Health Canada shows smoking dropping to an all-time low of less than two per cent for youth in 2024

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