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There are only two categorical exceptions: (a) when the depiction unambiguously reflects the dangers and consequences of tobacco use, or (b) the depiction exclusively represents the tobacco use of an actual person, as in a biographical drama or documentary. 86 However, even an R rating for all movies with smoking content will by no means prevent all young people from viewing such films, given that (US) R-rated movies are still watched by a sizeable proportion of adolescents

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A non-judgmental, strength-based approach that includes motivational interviewing to nudge youth toward behavior change is the most effective initial approach

Understanding the natural history of smoking (also referred to as the smoking career) would help tobacco control programs identify the critical ages to be targeted for interventions