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In urban centers like Delhi, Mumbai, and Bengaluru, the combination of stressful work routines, pollution, and late-night screen time compounds the effects of smoking on sleep quality
Of note, several studies including ours 12,34 have documented even though cotinine can be served as the best available biomarker reflecting recent exposure to tobacco smoke, cotinine could only be considered as a proxy for long-term (or cumulative) tobacco smoke exposure
In any case, the combination of smoking and poor sleep quality is not only a feature in the COVID-19 pandemic but also in HIV [46,127]
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