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Ilana Raskind and Lisa Henriksen from Stanford University in a study of 2015-2020 data on tobacco sales to underage buyers

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As awareness of tobacco-related health concerns grew, many smokers moved toward lighter alternatives, hoping to reduce their nicotine intake without quitting entirely

Prevention programs should also target expectant mothers and parents, as smoking during pregnancy increases the risk of adverse neonatal outcomes, and parental smoking remains a strong predictor of later tobacco use in children ( As children transition into adolescence, parental influence diminishes while peer pressure and social conformity gain importance

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