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In an accompanying comment, Matthew Steliga and Carolyn Drewsler observe that although in most places more men than women are smokers, more men than women quit smoking and "in some societies the number of female smokers is rising." Further, they note, "the tobacco industry views women as its growth market." They conclude that "targeting of both sexes is imperative for smoking prevention and cessation on a global, national, and individual basis." Here is the press release from the Lancet: The increased risk of developing coronary heart disease conferred by smoking is 25% higher for women compared with men An Article published Online First by The Lancet shows that the increased risk of developing coronary heart disease conferred by smoking is 25% higher for women compared with men
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Biological causes: Tobacco use induces neurochemical changes through stimulation of nicotinic acetylcholine receptors, which prompt the release of neurotransmitters that produce pleasure and satisfaction, according to the third chapter of the book Neurobiology of Addictions published in 2016 by the Oxford University Press
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