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For example, a lack of access to tobacco and other factors can be associated with a reduction in smoking but imprisonment can also lead to an increase in smoking behaviour.[21] Factors such as boredom and coping with stress are reasons frequently given by prisoners to explain why they feel a stronger need to smoke in prison

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A clinical study based on 32 participants found that poorer sleep quality was positively associated with increased craving and smoking urges, and suggested that poor sleep quality in cigarette smokers is associated with greater nicotine dependence [27]