The competitive landscape can also be fierce, with tobacco products readily available in various retail settings, from gas stations to convenience stores
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in 1965, only 8% of Italian women smoked
(yeah, its good for the environment)
It is still possible either: (1) that the supposed effect is really the cause, or in this case that incipient cancer, or a pre-cancerous condition with chronic inflammation, is a factor in inducing the smoking of cigarettes, or (2) that cigarette smoking and lung cancer, though not mutually causative, are both influenced by a common cause, in this case the individual genotype