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She kicked a 40-year cigarette smoking habit because of an effective government campaign that made me feel ostracized, dirty and stupid, she said

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Considering their high levels of nicotine dependence and low quit rates, PWH who smoke may require additional support for quitting compared with the general population of smokers, as they may not only have more smokers in their social network but also may smoke to cope with social isolation related to living with HIV 23,24

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Then I would be my own locomotive, trailing behind me as I returned to work little puffs of smoke, indicators of progress, signs of industry and thought, the signal that told the nineteenth century it was moving forward