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As described in this paper, existing studies have considered PMPU as a behavioral addiction a priori, without taking into account its uniqueness, as well as the heterogeneity of both its manifestations (e.g., addiction symptoms, banned use, risky use, etc.) and related risk factors (e.g., personality traits, comorbid psychopathology)

Smokeless tobacco habit is prevalent among people in United States, Sweden, India and other South-East Asian countries

some countries restrict nicotine-containing products and require prescriptions or declaration at customs

This is very helpful for health-conscious users, urban residents, and travellers to understand their daily exposure and potential health risks

OR = 1.55 95%CI:1.062.26, respectively)