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In addition, smoking is often influenced by social norms, peer pressure, and cultural acceptance, particularly in societies where smoking is ingrained as a part of daily life or social interactions, thus influencing cigarette market growth

If decision-making is a concern, there are more prevalent current issues such as prescription drug addiction, alcohol abuse and chronic sleep deprivation (which is a very serious condition as a result of long and odd shift hours, court appearances during off duty hours and days off), which all inherently adversely affect decision-making