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doi: 10.1542/peds.2011-2196

Cigarettes in prison have historically been common but are steadily being phased out, often in favor of e-cigs

Since hookah and tobacco cigarettes contain many of the same substances and can pose similar cardiovascular risks, smoking hookah in combination with estrogen contraceptives may have the same risks as smoking cigarettes

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But it could also be true that the effects of aging, in the long run, are random and psychologically taxing in ways that produce widely divergent individual outcomes, or that many smokers die earlier and arent accounted for in studies of older individuals