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A meta-analysis of published studies10 reported an adjusted relative risk of 6.19 [confidence interval (CI) 4.16-9.21] from 10 studies for chewing betel quid with tobacco
The reasons for this counterintuitive finding are unclear, but scholars speculate that because girls and women obtain more prescription drugs than do boys and men, their greater nonmedical use of prescription drugs reflects the fact that they have more access to these drugs in the first place
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