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Chronological age was not included as a separate covariate, as age of smoking initiation was incorporated to reflect developmental exposure and smoking trajectory

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To prevent children, adolescents, and young adults from transitioning from e-cigarettes to traditional cigarettes and minimize the potential public health harm from e-cigarette use, there is a critical need for e-cigarette regulation, legislative action, and counter promotion to protect youth. the group states

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Pupils frequently reported difficulty saying no to cigarettes without jeopardising friendships or social belonging