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Most insurers will consider you a smoker if you have used tobacco or nicotine in any form within the past 12 months, including: Cigarettes Electronic cigarettes Vaping products containing nicotine Smokeless tobacco, chewing tobacco, dip or snuff Pipes Nicotine patches, gum or other nicotine substitutes Regular cigar use often counts as smoking, but some insurers offer nonsmoker rates if you smoke fewer than a certain number of cigars per year, such as 12

The study abstract is available here.

Chemical exposure-response relationship between air pollutants and reactive oxygen species in the human respiratory tract