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2018225006), Shenyang Science and Technology Plan Project (No

Shulgin, and N

Conclusions Cigarette sharing persists in China with occupational/geographic disparities and impedes cessation while promoting relapse, necessitating region-specific interventionsintensifying smoke-free policies in developed areas while promoting alternatives like tea sharing in areas with a strong Confucian reciprocity culture, embedding refusal tactics and cessation incentives into public health campaigns, and expediting adoption of standardised cigarette packaging aligned with WHO Framework Convention on Tobacco Control guidelines

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