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Some 42 million Americans still smoke, although the majority want to quit

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Such policies are not in place in some locations because of concerns that bans would decrease business, and because of successful lobbying to Congress and by donations to candidates, political parties, and action groups

Increased risk of gum disease and tooth loss : Nicotine can negatively affect oral health by causing gum disease, which can worsen because tobacco weakens the bodys immune system, making it harder to treat gum infection

[1] On the other hand, participatory wellness programs do not require individuals to meet a health-related standard to obtain a reward (or do not provide any reward)

10.1016/j.jpsychires.2013.02.001 99