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Similarly, maternal exposure to e-cigarette aerosols during pregnancy resulted in abnormal lung structure, emphysema-like changes, increased airway resistance, and dysregulated developmental gene expression in offspring (64)

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Many pupils avoid smoking not out of conviction, but from fear of punishment and family shame this fear alone can be a strong deterrent. (Girl, girls school) In summary, enhancing reflective motivation requires more than conveying facts, it involves facilitating reasoning, emotional connection, and social awareness

[38] According to the CDC Tobacco Product Use Among Adults 2015 report, people who are American Indian/Alaska Native, non-Hispanic, less-educated (012 years education