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For smokeless tobacco usage, only religion affiliation has a significant association with the usage of smokeless tobacco among Orang Asli when adjusted for other variables on MLR (Table 2), whereby individuals with religion have 11% lower odds of using smokeless tobacco compared to those with no religion (95% CI 0.01, 0.86, p = 0.036)

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Indirect costs, including productivity losses due to premature mortality or disability, informal care for people with tobacco-related illnesses, and the costs of tobacco-related fires and sickness absence, are essential components in assessing the overall economic impact of smoking on society