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This inequality may be associated with employment status, as in India 71% of men are employed compared to 22% of women, as per the periodic labor force survey for 201718 by the Ministry of Statistics and Program Implementation (MOSPI) ( Initiation of use of any tobacco product is assumed to be associated with childhood adversities, including health, finance, and socioeconomic characteristics
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Bacteria found in the tobacco easily enter the bloodstream through the mouth "A further danger is that several species of Bacillus, as well as some Stapphylococccus epidermidis and Staphylococcus hominis strains can reduce nitrates to nitrites, which can potentially lead to formation of carcinogenic, tobacco-specific N'-nitrosamines within the tobacco products." And as many users often have problems with gum disease and other oral health issues caused by the smokeless tobacco products, this allows bacteria to easily enter into the bloodstream
Other smoking implements include pipes, cigars, bidis, hookahs, and bongs
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