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Rather, smoking appears to act as an aggravating factor that may accelerate disease progression in those who already have fatty liver from other causes

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The aims of the study were to test the following hypotheses: a) rates of smoking increase with increasing level of non-specific psychological distress after adjusting for socio-demographic factors including education, income and marital status b) among adults who smoke, rates of wanting to quit smoking, attempting to quit smoking and using smoking cessation aids do not vary by level of non-specific psychological distress c) among adults who smoke, rates of quitting smoking decrease with increasing level of non-specific psychological distress