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Am J Prev Med (2011)

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They may have diabetes or rheumatoid arthritis in the family, but they may not realise by stopping smoking they could reduce their risk of those conditions. According to Professor Harris, the fact research shows smokers tend to have lower levels of understanding of the risks than people who have never smoked is evidence of more than patient denial

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[22] Native American healthcare workforce [edit] A 2009 study finds that there is a strong prevalence of cross-cultural miscommunication, mistrust, and lack of satisfaction among Native American patients when it comes to healthcare