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The behavior addiction of smoking may be far more compelling than just the short-term withdrawal symptoms of a hard drug, he said

The Kandels view these results as evidence to support their theory that "gateway drugs" such as tobacco, alcohol, and marijuana physiologically prime people to enjoy other psychoactive substances

For instance, a study of more than 1,000 patients in China, published in the New England Journal of Medicine , found that smokers with COVID-19 were more likely to require intensive medical interventions than those who didn't smoke

So what are the implications for future policy and practice and for the equitable achievement of the Smokefree Aotearoa 2025 goal