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The eye and lip areas are usually the most affected

Statistical analyses The linear-by-linear association test for trend was used to evaluate the association between snus use or smoking and education

Abbreviations SLT: Smokeless tobacco STROBE: Strengthening the Reporting of Observational Studies in Epidemiology AKUH: Aga Khan University Hospitals ERC: Ethical Review Committee GATs: Global Adult Tobacco Survey CVI: Content validity index SPSS: Statistical Package for Social Sciences IQR: Interquartile range PKR: Pakistani Rupees OR: Odds Ratio AKU: Aga Khan University References WHO - types

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