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Data from the Global Youth Tobacco Survey (20102018) across 142 countries indicated that approximately 62.9% of adolescents reported SHS exposure in any place for at least one day during the past week, with 33.1% exposed at home and 57.6% in public places ( Despite these well-documented health risks, a significant gap often exists between awareness of SHS dangers and the adoption of protective behaviors, which are heavily influenced by sociocultural and environmental contexts

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Finally, observational associations and MR analysis were performed over the simulated individuals

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