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Male and female smokers are about twice as likely to have fertility problems than non-smokers, according to a 2020 article titled, 8 Dangers of Smoking While Pregnant published in Healthline

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They found that social smokers are more than twice as likely to die of lung disease and more than eight times as likely to die of lung cancer than non-smokers

Substance abuse can affect people of any age, gender, or income level

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In a paper published in 2012 in the International Journal of Environmental Research and Public Health, the authors reported that 72 percent of 1,000 surveyed smokers admitted knowing that cigarettes are toxic, and 86 percent said they believe them to be litter