Cigarette SH|IH|G|AX|R|EH|T S|I|G|AX|R|I|T SH|I|G|AX|R|I|T smoking SH|M|O|K|IH|NG S|M|U|K|IH|NG SH|M|U|K|IH|NG S|M|O|K|I|NG SH|M|O|K|I|NG S|M|U|K|I|NG SH|M|U|K|I|NG is I|Z IH|S I|S a primary P|R|IH|M|EH|R|IH P|R|A + I|M|I|R|I P|R|IH|M|I|R|IH risk R|I|S|K R|IH|SH|K R|I|SH|K factor P|AE|K|T|ER F|A|K|T|ER P|A|K|T|ER F|AE|K|T|I R P|AE|K|T|I R F|A|K|T|I R P|A|K|T|I R for P|AO|R F|U|R P|U|R development JH|IH|V|EH|L|AX|P|M|AX|N|T D|I|V|I|L|AX|P|M|AX|N|T JH|I|V|I|L|AX|P|M|AX|N|T D|IH|B|EH|L|AX|P|M|AX|N|T JH|IH|B|EH|L|AX|P|M|AX|N|T D|I|B|I|L|AX|P|M|AX|N|T JH|I|B|I|L|AX|P|M|AX|N|T of O|V AH|B O|B NCDs