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10 11 Qualitative evidence indicated that the majority of cessation attempts were undermined through peer pressure tactics, including unsolicited cigarette offers and direct lighting of cigarettes for abstainers.12 People who smoke frequently report anxiety that cessation could damage social relationships,11 while those who have quit face heightened relapse risks where refusing an offered cigarette may be perceived as disrespectful.4 12 These social dynamics are particularly concerning given that most successful quitters globally achieve cessation without professional assistance,13 underscoring the need to address cultural norms in tobacco control strategies

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