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We hypothesized that poor housing quality and unsafe neighborhoods could impact the relationship between a positive PTSD screen and tobacco use in two possible ways: (a) poor housing quality and less safe neighborhoods could worsen the impact of PTSD on smoking, contributing to a higher consumption among people with PTSD compared to those without PTSD, or (b) poor housing quality and less safe neighborhoods could have a similar effect as PTSD on smoking, contributing to a threshold effect of stressors, with minimal difference in smoking between those screening positive for PTSD and those screening negative

In addition, the quantity of cigarettes smoked by those that smoke has likewise continued to decrease

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