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Other factors, including certain viral infections or poor oral hygiene, also carry a heightened oral cancer risk

Some of the most common reasons, other than addiction, that people give for continuing to smoke are: Stress relief Comfort Bonding a lot of people start smoking with a friend or group of friends and continue to use it throughout their lives as a way to socialize and bond with others Fear of weight gain Routine many people smoke because theyve gotten used to having a cigarette before, during, or after daily activities If youre a smoker, you may relate to one or more of these reasons

Acknowledgments We are grateful to the investigators and staff in the Department of Family Medicine and the Health Examination Center of National Cheng Kung University Hospital for their excellent research assistance