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The adolescents most likely to begin to use tobacco and progress to regular use are those who have lower academic achievement.1 The evidence is sufficient to conclude that there is a causal relationship between peer group social influences and the initiation and maintenance of smoking behaviors during adolescence.1 Affective processes play an important role in youth smoking behavior, with a strong association between youth smoking and negative affect.1 The evidence is suggestive that tobacco use is a heritable trait, more so for regular use than for onset

[PubMed] [Google Scholar] 6.Thompson DF, Kessler TL

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The UC San Diego team also pointed out that efforts need to be tailored to different groups