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Hypertension and Substance Use

Tobacco and Hypertension

  • Smoking and smokeless tobacco raise blood pressure
  • Heavy smoking (e.g., machine-rolled cigarettes) increases hypertension risk significantly by ~50% (HR: 1.5) (Singh et al., 2022).
  • Smokeless tobacco is linked to high blood pressure, especially among women in rural India (Mishra et al., 2022).
  • Combined use with obesity and alcohol amplifies risk

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