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Univeristy of Washington Addictions, Drug and Alcohol institute

The reason given is the increase in tobacco tax in February

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considered a causal relationship unlikely, since the importance of smoking was attenuated after adjusting the results for age and the body mass index (BMI).17 No direct relationship has been shown between altered insulin secretion and smoking.12 It is also likely that smokers have other unhealthy habits, or that eating habits or a low socioeconomic status (known risk factors for diabetes) may act as confounding factors