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A 2019 GDS study shows us the geography of this habit amongst cannabis users around the world, with the percentages of users who consume this mixture: It exceeds 90% in countries such as Italy, Romania, Portugal and France

Differences in study population selections, definitions of early-onset smokers, and considerations for confounding variables may have also contributed to the inconsistent results from studies based on United States data 14,15,22,23,24

2nd review

Furthermore, lung cancer rates in American men have greatly exceeded those in Japanese men for several decades despite the higher smoking prevalence in Japanese men, which was noted as Japanese smoking paradox

According to Lin et al