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Research shows that people with these conditions account for nearly 40% of all cigarettes consumed in the U.S., despite representing a much smaller share of the population. Population-based studies, including a major Norwegian survey, have found that individuals with symptoms of anxiety and depression are significantly more likely to be current smokers compared to those without these symptoms. This association is particularly concerning because individuals with depression or anxiety often smoke more heavily and are more likely to become nicotine dependent. Additionally, the co-occurrence of both conditions has been found to strengthen the association with tobacco use, suggesting a compounding effect. The relationship between tobacco use and emotional distress is commonly explained by the self-medication hypothesis

COPD is a chronic, progressive lung condition that causes breathing difficulty, including shortness of breath, a chronic cough, wheezing, and chest tightness

"Those who try to cut down with the aid of nicotine, whether from nicotine replacement treatment or an e-cigarette, are more likely to stop eventually and thus really reduce their risks from smoking," he said