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From a public health perspective, those numbers are striking, particularly when juxtaposed with preventive measures like blood pressure screenings, colorectal screenings and mammography, the effects of which on life expectancy are more often viewed in terms of days or months, Dr

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However, they assume for modeling simplicity that youth smoking initiation will remain constant, whereas we assume it will continue to decline (as reflected in smoking prevalence among 20-year-olds entering the simulated cohort each year) as it has for many years [37]

Participants ages 12 to 17 were also asked how often they used substances like alcohol, cigarettes, e-cigarettes, and cannabis