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However, there was no means to verify self-reported tobacco use by estimating biomarkers such as urinary cotinine levels

Cigarette tar, technically the material deposited on a filter when the smoke is passed through, is used as a catch-all term for the particulate components of cigarette smoke, except for alkaloid compounds such as nicotine [36]

Acknowledgements Authors thank the Demographic and Health Surveys (DHS) Program for providing us access to data of twenty nine countries of the Sub-Saharan Africa region

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