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The Fagerstrm test (Therapeutic Guidelines Limited, North Melbourne, Australia) for nicotine dependence (table 2) has proven useful in determining the patients level of nicotine dependence, likely severity of withdrawal symptoms, difficulty in quitting and possible need for higher doses of nicotine supplements

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When accounting for controls, compared to those who smoked tobacco and did not use spliffs, the following groups were less likely to have their first joint within 60 minutes after waking: those who smoked tobacco and did use spliffs (aOR = 0.80, p = 0.02), those who never smoked tobacco and did not use spliffs (aOR = 0.69, p = 0.00), those who never smoked tobacco and did use spliffs (aOR = 0.47, p = 0.00)

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