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Smoking as few as 5 cigarettes a day can reduce teens' lung function growth, with teenage girls being especially vulnerable Tobacco narrows blood vessels and puts a strain on the heart Secondhand smoke increases sudden infant death syndrome and respiratory illness, cardiovascular disease, ear infections, allergies, bronchitis, pneumonia, and asthma Older children whose parents smoke get sick more often Girls who smoke are more likely to grow excess facial hair Teens who smoke produce twice as much phlegm as teens who don't Teens who smoke break out more and acne lasts longer for teens who smoke Teens who smoke catch more colds and their symptoms are worse and last longer Teenagers who smoke use more medications than those who do not smoke Teenagers who smoke have significantly more trouble sleeping than those who dont About 2/3 of teen smokers say they want to quit smoking, and 70% say they would not have started if they could choose again 44% of teens say they didn't know bidi cigarettes (thin, hand-rolled, often-flavored cigarettes imported from Asia that are blends of tobacco and locally available non-tobacco leaves) could lead to cancer

These estimates are based on the 13,288 NHANES participants aged 12 years with data on both ANA and serum cotinine

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