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The rate of chewing betel nuts has been brought down from 1.18 percent in 2013 to 0.4 percent in 2021 among junior-high students, from 2.46 to 1.66 percent in the same period among senior-high students, and from 5.8 to 3.5 percent among adults, Chang said

And deservedly so

Incredible, he said

Because of these facts, concepts are only meaningful in the context of a vast hierarchical system

Association of current and former smoking with body mass index: a study of smoking discordant twin pairs from 21 twin cohorts

While current use is about half of what it was 20 years ago, a CDC report this month found that the prevalence of smokeless tobacco use among workers stayed relatively flat from 2005 (2.7 percent) to 2010 (3 percent)