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I'm looking for something more concrete indicating what caused it to be used in this context

The study also takes into consideration factors that affect smoking behavior, such as age, gender, socioeconomic status, motivation, and nicotine addiction Furthermore, the popularity and use of new products such as e-cigarettes or tobacco heating systems have risen markedly in Germany in recent years (12, 13)

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This internationally recognized symbol ensures that regardless of where you are in the world, the signs message is universally understood