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A major limitation across the literature is residual confounding from tobacco, given the high prevalence of dual use and the collinearity of exposure metrics (pack-years, depth of inhalation, and mixing practices such as blunts and tobacco-mixed joints)

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Secondary analysis With adjustment for participants usual pack size reported at baseline, the estimated means for the number of cigarettes smoked per day for participants in the intervention group and the control group were 15.9 (SD = 7.7) and 16.7 (SD = 7.7) respectively with a mean difference of 0.8 cigarettes per day (95%CI = 4.3, 2.6, SE = 1.7)

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