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Negative Mood Effects: While some individuals often use tobacco to alleviate stress or improve mood temporarily, long-term tobacco use leads to mood disturbances and irritability, particularly during periods of nicotine withdrawal

Exposure to cocaine can also trigger a stroke, which may end in permanent brain damage or death of the fetus

With cardiovascular disease, smoking makes the condition worse by putting carbon monoxide into the blood, causing less oxygen to reach the heart

Strengths and limitations This studys key strength lies in the use of multivariate decomposition analysis, which allowed for a nuanced examination of both demographic shifts and behavioral change