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It also suggests that we need to be more precise when we ask about cigarette smoking frequency. According to Jason Oliver, PhD, assistant professor of psychiatry and behavioral sciences, Duke University, when assessing nicotine addictionclinically referred to as tobacco use disorderclinicians are encouraged to fully assess the 11 criteria listed in the fifth edition of the Diagnostic and Statistical Manual (DSM-5)

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The methodology was also criticized because a normalization to either the total number of users or the frequency of drug use was not conducted, which might have biased the result toward the harms of opiate use 14 and may have underrepresented the harms of tobacco 15