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Firstly, due to constraints, a systematic review was not possible, while the studies reviewed varied considerably in terms of methodology, sample size, objectives, exposure assessment methods and endpoints, limiting the comparability of results

These findings highlight the need to strengthen tobacco control frameworks by incorporating targeted interventions that engage Orang Asli leaders, integrate health promotion within community structures, and implement stricter policy regulation of tobacco products to effectively reduce tobacco use and health disparities within this marginalized population

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This makes Double Happiness culturally appropriate for weddings, anniversaries, and family celebrations where symbolic meaning is more important than luxury positioning

The CDC has identified youth sports as an area where tobacco education and prevention will help limit the number of first time smokers and has begun a Tobacco Free Sports Movement to encourage non smoking practices in athletics