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13 CONTEMPLATION STAGE If further discussion on the return visit reveals that the patient now agrees that smoking is a problem and would like to consider quitting, the patient has entered the contemplation stage

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In the current study, both groups of individuals demonstrated characteristics associated with reduced engagement in preventive healthcare, with e-cigarette users more often being uninsured, which was consistent with prior data noting that e-cigarette users were twice as likely to lack health coverage compared with non-users 30

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