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BMC Public Health, 2009

Inability to stop using tobacco products, despite making attempts to quit Continuing using tobacco products despite health problems Strong cravings for tobacco Withdrawal symptoms when trying to quit Giving up activities or refusing to attend events/places where tobacco use is not allowed Using tobacco products to deal with stress or feel normal Gradually increasing tobacco use Spending most of the time during the day using tobacco products, at home, work, and other places Tobacco products are legal, easily obtained, and people can consume them in public

On a more encouraging note, Wegmans stopped selling tobacco products in 2008 in the interest of public health, and Hannafords followed suit in 2015

55.0% reported having high education, 40.6% medium education, 2.1% low education and 2.4% education in progress