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In addition, they note the positive correlation between tobacco use, alcohol, and marijuana, and recognize that college students who engage in risky behavior such as using drugs are significantly more likely to be daily or non-daily smokers than nonsmokers

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Studies have shown a direct correlation between smoking prevalence and TB incidence at a population level, suggesting that tobacco use acts as a significant driver of the TB epidemic in these regions, contributing to increased transmission, disease progression, and mortality (WHO Global, 2024