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Risk of bias assessment Risk of bias for the studies included was assessed by two independent reviewers using the Joanna Briggs Institute (JBI) appraisal tool 19 for cross-sectional studies, which consists of eight questions

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However, the much slower decline in smokers over the age of 50, particularly in previously high smoking states, will mean that the high rates of lung cancer, heart disease and chronic obstructive pulmonary disease that are caused by lifelong smoking will take longer to decrease. Researchers used the publicly available Tobacco Use Supplements to the U.S