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A review of studies from Baylor University concluded that smokers have a higher risk of developing ED, independent of age and comorbidities

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With little money, time or 'personal space', smoking becomes an emotional crutch on which people rely for stress management and a form of escapism Brinnington smokers are tired of being 'nagged' into quitting and are unlikely to succeed or make an attempt because their support networks consist of smokers Low confidence is a considerable barrier to community participation, so services in a trusted, safe and familiar environment with familiar faces is essential Given the complexity of their lives, ease of access to nicotine replacement therapy (NRT) is vitally important There is a real drive to quit, primarily because of financial worry but also because of the fear of ill-health and desire to be a positive role model for children