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[4] Serious mental illness is defined by the Center for Mental Health Services as mental illnesses that result in functional impairment which substantially interferes with or limits one or more major life activities. Such findings reinforce that the built environment significantly contributes to increased smoking prevalence among the general population, including individuals with mental illness

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A higher prevalence of TUD has similarly been observed in patients with depression, with a plausible dose dependent relationship between the severity of addiction and depressive symptoms (21)

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Rate/1,000 person-years, indirectly standardised for age using the whole cohort distribution