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The authors recommended that future adolescent smoking prevention research should not focus solely on social influence, but should also consider selection homophily (Mercken et al., 2012)

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37 The adverse effects of nicotine on pregnancy and the developing fetus are often neglected in discussions of smokeless tobacco or ENDS as means of smoke cessation and harm reduction

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Animal and human studies, notes that preterm delivery low birth weight stillbirth impaired lung and brain development sudden infant death syndrome (SIDS) People with lung conditions Secondhand vape aerosol contains flavorings, such as diacetyl, a chemical that may impair the function of cilia in the airway