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Heterogeneity in socioeconomic gradients between countries might also be partially explained by country level factors such as implemented tobacco control policies.45 However, whereas price increases and targeted cessation support have been found to reduce inequalities in smoking by socioeconomic status, equity impacts of other tobacco control interventions are less clear.45 Thus, socioeconomic differences in tobacco use in low and middle income countries might not only warrant the stricter implementation of tobacco control measures to reach disadvantaged individuals, but also the integration of these measures into wider, community-based public health strategies

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It can cause a persistent allergic response, smoke- or environmental-triggered inflammation that leads to airway scarring, which are the principal causes of airflow limitation in COPD [116, 117]

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