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A systematic review and meta-analysis of 50 randomized controlled trials of mostly US and European studies of school-based tobacco education programs found the combined social competence or social influences had been effective for reducing smoking initiation after any length of follow-up, and effective for the social competence curriculum after follow-up periods of more than 1 year 7

Women who smoke are more likely to have trouble getting pregnant

4 Based on current knowledge, the short- and medium-term risk of vaping is much less than the risk of smoking, but vaping is not risk-free, especially for non-smokers

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