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The intense and rapid onset of effects from dabbing can impair judgment to a dangerous degree, leading to potentially life-endangering actions or decisions, particularly if the users mental health has been adversely affected

Fourth, while the most important confounders (inflation-adjusted cigarette prices and percent of indoor workers covered by smoke-free workplaces) were controlled for in our analyses it is possible that residual confounding from tobacco control policies implemented after 1998-99 that generally have immediate effects on behavior, such as public smoking bans, may have contributed to the lack of association between 1998-99 the IOI and SOTC and 2006-07 smoking prevalence

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