Indeed, many brands have touted pouches as a way for smokers to quit over the past few years, but recently published data in the journal Tobacco Control from researchers at the Dornsife School of Public Health and the National Institutes of Health suggest it’s not a particularly effective way of doing so.

Having control over your own health through access to medical appointments, healthy foods, clean air and water, among other resources indeed fosters better health. It’s equally understandable that when an individual doesn’t have these, they are at risk for worse health. But simply believing that you don’t have control over your health could actually compound these problems, according to a recently published study from Drexel University researchers in the journal Psychology, Health & Medicine.