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Chronic bronchitis is primarily linked to smoking and marijuana use. Smoking is the most significant risk factor for developing chronic bronchitis, as it causes inflammation and damage to the airways, leading to increased mucus production and difficulty in breathing. The irritants present in tobacco smoke not only harm the lungs but also compromise respiratory function over time.

Marijuana use can similarly contribute to respiratory issues. It contains many of the same harmful chemicals and can lead to airway inflammation and symptoms similar to those seen in chronic bronchitis. These include persistent cough and sputum production.

While the other listed conditions can have various adverse health effects, they are not primarily associated with chronic bronchitis in the same direct manner as smoking and marijuana use. Understanding the relationship between these substances and chronic respiratory conditions emphasizes the importance of smoking cessation and awareness of marijuana's effects on lung health for effective prevention and management strategies.

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