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Smoking presents even more challenges, affecting everything from oxygen delivery to hormone levels

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That said, one study showed that individuals who received smoking cessation 6 months after substance use disorder treatment had better alcohol abstinence rates over an 18-month period than those who received smoking cessation during treatment, despite similar rates of smoking abstinence

Read the full Health Equity Impact Assessment here: Multnomah County Tobacco Retail Licensing Policy: A Health Equity Impact Assessment (Upstream Public Health, 2015) State and local governments can conduct a health equity impact assessment for any policy

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