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He said there are now smoke-free options to deliver nicotine at vastly reduced risk, including Swedish snus and vaping

Assessment of methodological quality We assessed the methodological quality of the selected articles using the mixed-methods appraisal tool (MMAT) scale 45

According to Reddy, studies have found that HIV infection independently increases the risks for developing serious medical outcomes such as heart attacks, emphysema and lung cancer that are already associated with smoking, making HIV infection and smoking a particularly dangerous combination

Future intervention research should combine peer-led diffusion approaches with teacher-led instruction to maximize reach and sustainability in different contexts