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When foreign objects, like cotton swabs, are inserted into the ear canal, they can inadvertently push wax deeper or cause injury, resulting in pain and discomfort

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Chi-square or Fishers Exact tests (for categorical variables) and t tests (for continuous variables) were used to compare variables relevant to only two study groups (i.e., the two groups of smokers and the two groups of PLWH)

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Its a nasty habit but definitely preferred over cigarettes