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Smokeless tobacco use was associated with lower COPD prevalence in the unadjusted and pack-years adjusted models (RR = 0.35, CI [0.18, 0.67] and RR = 0.49, CI [0.26, 0.94], respectively), but not when accounting for all potentially confounding variables (RR = 0.55, CI [0.28, 1.06])

Atherosclerosis 2001;156:373-8.ArticlePubMed 19

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