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10.1186/1747-597X-6-33 Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L: Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey

Results: ALD prevalence was 0.97% in high-risk drinkers and 1.09% in high-risk drinkers who smoked, higher than 0.16% in social drinkers ( p 20 cigarettes/day) emerges as a significant risk factor exacerbating the progression to liver cirrhosis (24)

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Furthermore, the smoker's sins against etiquette outnumber the nonsmokers, five to one