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We hope to be able to identify modifiable factors that can help inform regulatory efforts, retailer education programs, and overall compliance and enforcement to reduce and prevent tobacco use consistently among youth and young adults, says Amanda Kong, PhD, MPH, assistant professor of social sciences and health policy at Wake Forest University School of Medicine, based in North Carolina, and an author of the study

Long-term damage to the alveoli can eventually result in chronic obstructive pulmonary disease

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