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This is even more uncertain an estimate since it's based on estimating lost economic output from workers dying early from smoking-related conditions (4 billion) and even taking smoking breaks at work (2.9 billion)

Given the recognized associations between negative mental health states and increased susceptibility to substance use, our results raise important questions about the potential psychological drivers behind smoking behaviors and reinforce the idea that addressing emotional well-being should be an integral part of tobacco prevention efforts [43, 44]

G., Haldane J

The impetus behind the pairing of these vices, the Los Angels Times reports, is likely stress