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This dangerous form of farming doesnt result in financial gains in many cases, says Drope: In some countries, [farmers] are literally going into debt each season, but because theyre in these contractual relationships [with tobacco companies], theyre obligated in the next growing season to continue to grow tobacco, he said

65 This suggests that population-level initiatives such as media health education campaigns, are needed to achieve changes in attitude and behaviour

In essence: Socially disadvantaged individuals experience more stressful situations which is associated with higher smoking rates, compared to less disadvantaged individuals [10, 13]

The research is from a highly respected group of English researchers, one of whom has been all but venerated by activist vapers for his optimism over e-cigarettes